Individual
SUSAN KNOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4521 HUNTINGTON PL, EVANSVILLE, IN 47725-7431
(317) 319-3693
Mailing address
4521 HUNTINGTON, EVANSVILL, IN 47725-7431
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
672600
IN
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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