Individual
MICHELE JOANNE KNOBLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
Mailing address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100824
MN
225X00000X
Occupational Therapist
489
ND
Other
Enumeration date
07/19/2006
Last updated
07/09/2021
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