Individual
BRITANY M KONSELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2120 HEIGHTS DR, EAU CLAIRE, WI 54701-6142
(715) 832-1681
Mailing address
2120 HEIGHTS DR, EAU CLAIRE, WI 54701-6142
(715) 832-1681
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1578-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578-019
—
WI
Enumeration date
11/17/2009
Last updated
08/28/2012
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