Erik Wade Konvicka

NPI #1982183588 in Hallettsville, Texas

Provider Information

NPI Number: 1982183588
Entity Type: Individual
Name: Erik Wade Konvicka
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 14, 2018
Last Updated: Aug 14, 2018

Practice Location

Address: 106 KAHN ST
City: Hallettsville
State: Texas
ZIP Code: 77964-2177
Phone: (361) 798-3606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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