Individual
ELIZABETH BIANCHI KNOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
5027 GREEN BAY RD STE 124, KENOSHA, WI 53144-1771
(262) 654-4300
(262) 654-4305
Mailing address
5027 GREEN BAY RD STE 124, KENOSHA, WI 53144-1771
(262) 654-4300
(262) 654-4305
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO04219
DE
224P00000X
Prosthetist
Primary
CPO04219
DE
Other
Enumeration date
02/18/2019
Last updated
02/27/2019
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