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1205677630
CLAYTON KONIENCKI
PHILADELPHIA, PA
NPI
1205677630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA TPT023819)
Enumeration Date
2024-05-31
Last Update Date
2024-05-31
Business Address
CLAYTON KONIENCKI DPT
1528 WALNUT ST STE 1210
PHILADELPHIA, PA 19102-3609
Phone number: 215-839-0989
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Mailing Address
CLAYTON KONIENCKI DPT
1600 RIDGE AVE APT 2
PHILADELPHIA, PA 19130
Phone number: 610-850-5478
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