Individual
MR. JOHN L. LEAR-KONOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2825 WILLETTA ST SW, SUITE B, ALBANY, OR 97321-3846
(541) 812-5150
(541) 917-3887
Mailing address
2825 WILLETTA ST SW, SUITE B, ALBANY, OR 97321-3846
(541) 812-5150
(541) 917-3887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2680
OR
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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