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Individual
MARTHA CROSS KNOX
Active
Individual
MARTHA CROSS KNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305002505
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305002505
P.T. LICENSE NUMBER
VA
01
—
PT0000001039
P.T. LICENSE NUMBER
TN
Enumeration date
09/16/2006
Last updated
07/08/2007
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