Individual
AMANDA MARIE KONOPKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 324-1230
Mailing address
451 W WRIGHTWOOD AVE APT 302, CHICAGO, IL 60614-3090
(773) 968-7125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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