Individual
COLLEEN KONONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
PO BOX 112, CAMPTOWN, PA 18815-0112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017632
PA
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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