Individual
NICOLE KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3629 GATEWAY DR APT 3A, PORTSMOUTH, VA 23703-5031
(757) 450-8846
Mailing address
3629 GATEWAY DR, APT 3A, PORTSMOUTH, VA 23703-5029
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001944
VA
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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