Erik Wade Konvicka
Physical Therapist in Hallettsville, TX. Individual provider (NPI-1).
NPI number1982183588
StatusActive
Last updated in NPPESAug 14, 2018
Details
- NPI
- 1982183588
- Entity type
- Individual (NPI-1)
- Name
- Erik Wade Konvicka
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2018
- Last updated
- Aug 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1189382 | TX | Yes |
Practice location
106 Kahn StHallettsville, TX 77964-2177
Phone 361-798-3606
Mailing address
141 County Road 132bHallettsville, TX 77964-3244
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All 9 Physical Therapist providers in Hallettsville · All 107 providers in Hallettsville
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