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Individual
JORDAN LEEANN KNOUSE
Active
Individual
JORDAN LEEANN KNOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
PT43184
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT43184
CA
273Y00000X
Rehabilitation Hospital Unit
43184
CA
Other
Enumeration date
11/15/2016
Last updated
11/20/2020
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