Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 12680 | NC |
NPI | 1003126202 |
---|---|
Provider Name | Ms. Robin Nicole Conradi |
First Address | Durham, NC 27704-2150 |
Second Address | Durham, NC 27704-2150 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2010 |
Last Update Date | 18/12/2019 |