Individual
JANIS KONKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 ATTUCKS LN, HYANNIS, MA 02601-8146
(508) 771-9600
Mailing address
949 LIBERTY SQUARE RD, BOXBOROUGH, MA 01719-1139
(978) 290-8949
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24504
MA
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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