ERIK WADE KONVICKA

HALLETTSVILLE, TX
NPI1982183588
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1189382)
Enumeration Date2018-08-14
Last Update Date2018-08-14
Business Address
ERIK WADE KONVICKA
106 KAHN ST
HALLETTSVILLE, TX 77964-2177
Phone number: 361-798-3606
Mailing Address
ERIK WADE KONVICKA
141 COUNTY ROAD 132B
HALLETTSVILLE, TX 77964-3244
Phone number:
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