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Individual
MRS. SUSAN KILLINGBECK KNOX
Active
Individual
MRS. SUSAN KILLINGBECK KNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
002322-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002322-1
OCCUPATIONAL THERAPY LICENSE
NY
Enumeration date
11/20/2008
Last updated
11/20/2008
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