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Individual
LISA P KNUTSON
Active
Individual
LISA P KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1135028
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010127556
—
VA
01
—
173447
ANTHEM SERVICES
VA
01
—
2130616
MAMSI
VA
Enumeration date
02/08/2006
Last updated
04/25/2017
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