Individual
MICKIE L KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3154 N 1550TH AVE, ORION, IL 61273-9283
(309) 764-6744
Mailing address
3154 N 1550TH AVE, ORION, IL 61273-9283
(309) 764-6744
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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