Individual
BRIAN KONEFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4545 SHELLEY CT, STOCKTON, CA 95207-7232
(209) 477-0271
Mailing address
200 POND VISTA LN APT E, MANHEIM, PA 17545-9816
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
28122
CA
225X00000X
Occupational Therapist
Primary
OC018219
PA
Other
Enumeration date
10/11/2022
Last updated
09/03/2025
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