Individual
GRACE ELIZABETH KNUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
650 ENTERPRISE BLVD APT 10103, CHARLESTON, SC 29492-8554
(724) 961-6771
Mailing address
650 ENTERPRISE BLVD APT 10103, CHARLESTON, SC 29492-8554
(724) 961-6771
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4713
SC
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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