Individual
DIANNA KNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
678 SNELLING AVE S, SAINT PAUL, MN 55116-2600
(651) 263-7206
Mailing address
678 SNELLING AVE S, SAINT PAUL, MN 55116-2600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104343
MN
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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