Individual
MRS. DEANNA CAROL KNOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
410 PROVIDENCE LN NE, OLYMPIA, WA 98506-6927
(360) 493-4995
Mailing address
410 PROVIDENCE LANE NE, PROVIDENCE ST PETER HOSPITAL, OLYMPIA, WA 98506
(360) 493-4995
(360) 493-7977
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 00007777
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910567732
—
WA
Enumeration date
01/03/2014
Last updated
01/03/2014
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