Individual
DANIEL MICHAEL KONCELIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7 HARRIS AVE, 2ND FLOOR, JAMAICA PLAIN, MA 02130-2888
(617) 971-9500
Mailing address
7 HARRIS AVE, 2ND FLOOR, JAMAICA PLAIN, MA 02130-2888
(617) 971-9500
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
3713
MA
Other
Enumeration date
11/01/2008
Last updated
11/01/2008
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