Individual
DEBORAH L. KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
112 VALIANT LN, SLIDELL, LA 70458-9135
(504) 460-1718
Mailing address
112 VALIANT LN, SLIDELL, LA 70458-9135
(504) 460-1718
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J00073
LA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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