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Individual

JIMMY ERIC KNOX

Active
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Individual

JIMMY ERIC KNOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTRIL, CDRS

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2774
MS
225XE0001X
Environmental Modification Occupational Therapist
OT2774
MS
225XP0200X
Pediatric Occupational Therapist
OT2774
MS
225XR0403X
Driving and Community Mobility Occupational Therapist
OT2774
MS

Other

Enumeration date
03/22/2018
Last updated
03/22/2018
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