Individual
MRS. DANIELLE LYNN KNICKERBOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2775 E LANSING DR, EAST LANSING, MI 48823-7755
(517) 332-1616
(517) 336-4797
Mailing address
2775 EAST LANSING DR., EAST LANSING, MI 48823
(517) 332-1616
(517) 336-4797
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
5201005512
MI
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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