Individual
BRIAN KONZELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
200 TUCKERTON RD STE 17, MEDFORD, NJ 08055-8806
(856) 396-2250
Mailing address
PO BOX 1014, CLARK, NJ 07066-1014
(732) 855-9751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02106300
NJ
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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