Individual
MS. AMANDA KNOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
539 KELLER LOOP, WILLIAMSPORT, PA 17701-9394
(570) 492-6398
Mailing address
539 KELLER LOOP, WILLIAMSPORT, PA 17701-9394
(570) 492-6398
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
T1512641004
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4352743
ENTITY NUMBER
PA
Enumeration date
06/18/2015
Last updated
06/18/2015
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