Individual
CATHERINE L KNICKERBOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3147 FERNS GLEN DR, TALLAHASSEE, FL 32309-2303
(229) 224-1282
Mailing address
3147 FERNS GLEN DR, TALLAHASSEE, FL 32309-2303
(229) 224-1282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004553
GA
225100000X
Physical Therapist
PT4063
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000688157E
—
GA
05
—
000688157H
—
GA
Enumeration date
05/16/2006
Last updated
07/17/2008
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