Individual
MR. STEPHEN DAVID KONOWAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1415 MARLTON PIKE E, CHERRY HILL, NJ 08034-2210
(800) 670-3893
Mailing address
169 MARKLE ST, PHILADELPHIA, PA 19127-1709
(215) 482-5331
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008454
PA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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