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1184342941
BRIAN KONZELMANN
MEDFORD, NJ
NPI
1184342941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA02106300)
Enumeration Date
2022-08-18
Last Update Date
2022-08-18
Business Address
BRIAN KONZELMANN DPT
200 TUCKERTON RD STE 17
MEDFORD, NJ 08055-8806
Phone number: 856-396-2250
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Mailing Address
BRIAN KONZELMANN DPT
PO BOX 1014
CLARK, NJ 07066-1014
Phone number: 732-855-9751
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