Individual
JACQUELINE KNUTTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3313 PICKET FENCE LN, MYRTLE BEACH, SC 29579-3310
(215) 499-9385
Mailing address
3313 PICKET FENCE LN, MYRTLE BEACH, SC 29579-3310
(215) 499-9385
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4925
SC
Other
Enumeration date
04/02/2022
Last updated
04/02/2022
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