Individual
ANNA KNORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
51681 HUNTINGTON RD, LA PINE, OR 97739-9626
(541) 536-6122
(541) 536-6123
Mailing address
PO BOX 1888, LA PINE, OR 97739-1888
(541) 536-6122
(541) 536-6123
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
62620
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62620
931050246
—
Enumeration date
02/12/2018
Last updated
03/17/2018
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