Doctor Name: | DAVID CONLON |
NPI Number: | 1508980830 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | J1-0001243 |
Business Practice Address: | 525 Glenburn Ave Cambridge, MD - 216131414 |
Business Phone Number: | 4102211400 |
Business Fax Number: | |
Mailing Address: | 211 Greenwood Hall Farm Ln, GRASONVILLE |
State: | MD |
Postal Code: | 216381125 |
Phone Number: | 4108273494 |
Fax Number: | 4108278799 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | J1-0001243 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |