Individual
KATARZYNA KONOPKA MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
630 CRANE CREEK DR STE 106, AUGUSTA, GA 30907-0004
(626) 854-2777
(762) 685-4275
Mailing address
1100 CIRCLE 75 PKWY SE STE 1400, ATLANTA, GA 30339-3067
(678) 981-3543
(404) 777-1311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT013564
STATE PT LICENSE
GA
Enumeration date
08/22/2018
Last updated
11/04/2021
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