Individual
CHERYL LYNN KONCZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
7517 W COLDSPRING RD, GREENFIELD, WI 53220-2814
(414) 327-6603
Mailing address
7517 W COLDSPRING RD, GREENFIELD, WI 53220-2814
(414) 327-6603
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
829-019
WI
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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