NPI 1124434410

Kristen Konecny

Practitioner Occupational Therapy Assistant South Bend, IN

Practice location

Address: 926 E Wayne St, South Bend, IN 46617-3000
Phone: (574) 233-8812

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 32002678A (IN)

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Registry record

NPI: 1124434410
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2014
Record last updated: 7 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.