Provider Demographics
NPI:1700570892
Name:CONROY-MUNOZ, VANITY ANGEL
Entity Type:Individual
Prefix:
First Name:VANITY
Middle Name:ANGEL
Last Name:CONROY-MUNOZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1554 S 38TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215-1744
Mailing Address - Country:US
Mailing Address - Phone:414-699-3585
Mailing Address - Fax:
Practice Address - Street 1:1554 S 38TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215-1744
Practice Address - Country:US
Practice Address - Phone:414-699-3585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist