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Vivian A Conde (OTR L CST)

Vivian A Conde (OTR L CST) is a health care provider specializes in Chiropractor.

profile-icon Basic Information

Practice Location 41640 Parsons Rd, Lagrange, OH 44050-9513, US
Practice Location Phone440-355-8032
Practice Location Fax440-355-4230
GenderFemale
Specialty InChiropractor
NPI ?1801001029
Entity TypeIndividual
Enumeration Date ? May 11, 2007
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Vivian A Conde

SpecialtySpecializationLicenseLicense State
ChiropractorOccupational Health 1133Ohio

legacy-id-icon Legacy Provider IDs of Vivian A Conde

Provider IdIssuer StateIssuer TypeIssuer
341605134-01OhioOtherBWC
341605134005OhioOtherMEDICAL MUTUAL OF OHIO
341605134OhioOtherCOMMERCIAL INSURANCE
341605134OhioOtherTAX ID NUMBER