Individual
MR. GREGORY J KONIUSZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3670 MAPLESHADE LN, PLANO, TX 75075-5867
(972) 964-8444
Mailing address
215 NORTHRIDGE DR, WYLIE, TX 75098-6134
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2117459
TX
Other
Enumeration date
05/27/2019
Last updated
05/27/2019
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