Individual
TINA MARIE KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 KRUGER ST, OTTUMWA, IA 52501-2757
(641) 455-1275
Mailing address
509 KRUGER ST, OTTUMWA, IA 52501-2757
(641) 455-1275
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
077910
IA
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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