Individual
MARCIA M. KONYN-YOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3712 S WHITNALL AVE, MILWAUKEE, WI 53207-3923
(414) 747-9047
Mailing address
3712 S WHITNALL AVE, MILWAUKEE, WI 53207-3932
(414) 747-9047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4136-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40211700
—
WI
Enumeration date
02/02/2007
Last updated
07/09/2007
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