Individual
KELLEY M KNOEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, MS
Contact information
Practice address
1004 10TH ST, PORT ROYAL, SC 29935-2310
(843) 310-9689
(800) 317-9690
Mailing address
1004 10TH ST, PORT ROYAL, SC 29935-2310
(843) 310-9689
(800) 317-9690
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4364
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4364
PROFESSIONAL LICENSE
SC
Enumeration date
09/22/2014
Last updated
07/07/2025
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