Provider Demographics
NPI:1417041021
Name:CONROY, MAUREEN ANN (ATC)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:ANN
Last Name:CONROY
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 CRYSTAL SPRINGS RD.
Mailing Address - Street 2:#2302
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066
Mailing Address - Country:US
Mailing Address - Phone:650-871-8053
Mailing Address - Fax:510-445-4884
Practice Address - Street 1:45500 FREMONT BLVD.
Practice Address - Street 2:WORK-FIT
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538
Practice Address - Country:US
Practice Address - Phone:510-445-4876
Practice Address - Fax:510-445-4884
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer