Individual
ALICIA KONECNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8481 HOLLY RD, GRAND BLANC, MI 48439-1812
(810) 694-6382
Mailing address
8481 HOLLY RD, GRAND BLANC, MI 48439-1812
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000718
MI
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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