Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nino Otacan Conde

Individual provider Physical Therapist · NPI 1174239172

Nino Otacan Conde is a Physical Therapist in Lodi, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

631 S Ham Ln
Lodi, CA 95242-3532
Phone: (209) 368-7433
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 303521 (CA)

Record details

NPI number1174239172
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 24, 2023
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023

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