Individual
JOSEPH WAYNE KONOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
650 PEARL ST, RIB LAKE, WI 54470-9322
(715) 443-5921
Mailing address
508 E CONRAD DR, MEDFORD, WI 54451-2037
(507) 319-7894
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5258-27
WI
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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