Individual
TIMOTHY KONOPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6619 RIDGE AVE, PHILADELPHIA, PA 19128-2477
(267) 385-7247
Mailing address
6619 RIDGE AVE, PHILADELPHIA, PA 19128-2477
(267) 385-7247
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE014009
PA
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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