Individual
MR. MATTHEW PAUL KONIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7710 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-2320
(772) 335-5300
(772) 878-7602
Mailing address
7710 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-2320
(772) 335-5300
(772) 878-7602
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25060
FL
Other
Enumeration date
09/22/2014
Last updated
09/29/2014
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