Individual
ANGIE MCCONKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 COTTAGE GROVE RD, MADISON, WI 53716-1392
(608) 221-1501
(608) 223-3540
Mailing address
4901 COTTAGE GROVE RD, MADISON, WI 53716-1392
(608) 221-1501
(608) 223-3540
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
490-19
WI
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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