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Individual

DAVID T KNOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
40 MAPLE STREET, PORTLAND, ME 04101
(207) 749-0617
Mailing address
40 MAPLE STREET, PORTLAND, ME 04101
(207) 749-0617

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1714
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
027317
BC/BS OF MAINE
ME
01
08Y003797ME01
BC/BS OF NH
ME
Enumeration date
07/22/2005
Last updated
01/22/2010
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