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1831457720
KEVIN KONIECZKA
MILWAUKEE, WI
NPI
1831457720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 11580-24)
Enumeration Date
2012-04-27
Last Update Date
2014-07-22
Business Address
Mr. KEVIN KONIECZKA PT
1224 MILLER PARKWAY
MILWAUKEE, WI 53214
Phone number: 414-847-2971
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Mailing Address
Mr. KEVIN KONIECZKA PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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