Individual
CLAYTON KONIENCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1528 WALNUT ST STE 1210, PHILADELPHIA, PA 19102-3609
(215) 839-0989
Mailing address
1600 RIDGE AVE, APT 2, PHILADELPHIA, PA 19130
(610) 850-5478
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
TPT023819
PA
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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