NPI 1467014183

Debbra Konopaske, PTA

Practitioner Physical Therapy Assistant Wallingford, CT

Practice location

Address: 22 Masonic Ave, Wallingford, CT 06492-3048
Phone: (203) 679-5900

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1828 (CT)

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Registry record

NPI: 1467014183
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jul 2019
Record last updated: 2 Jul 2019

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.