Doctor Name: | MICHAEL GEORGE KONOZA |
NPI Number: | 1033187604 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT, ATC |
License Number: | 2703 |
Business Practice Address: | 1076 Ribaut Rd Suite102 Beaufort, SC - 299025476 |
Business Phone Number: | 8435211970 |
Business Fax Number: | 8435210908 |
Mailing Address: | 605 Ashdale Dr, BEAUFORT |
State: | SC |
Postal Code: | 299072517 |
Phone Number: | 8435222909 |
Fax Number: | 8435210908 |
NPI Enumeration Date: | 03/09/2006 |
NPI Last Update Date: | 06/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2703 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |