Provider Demographics
NPI:1699556548
Name:CONO, CONCESA DIWA
Entity type:Individual
Prefix:
First Name:CONCESA
Middle Name:DIWA
Last Name:CONO
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 1:14818 ELAINE AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-5915
Mailing Address - Country:US
Mailing Address - Phone:562-881-8781
Mailing Address - Fax:
Practice Address - Street 1:14818 ELAINE AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-5915
Practice Address - Country:US
Practice Address - Phone:562-881-8781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist