Individual
NICOLE L KNOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 PURSUIT, ALISO VIEJO, CA 92656-4213
(949) 389-8516
Mailing address
114 W AVENIDA CADIZ, SAN CLEMENTE, CA 92672-4246
(949) 630-8514
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8894
CA
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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