NPI 1063472041

Richard Wilson Conrey, CPOPT

Practitioner Prosthetist Plantation, FL

Practice location

Address: 450 N State Road 7, Plantation, FL 33317-2834
Phone: (954) 584-1954
Fax: (954) 584-7794

Registered specialties (3)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence POR150 (FL)

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Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT11703 (FL)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence POR150 (FL)

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Registry record

NPI: 1063472041
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Mar 2006
Record last updated: 11 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.