Individual
BONI MAE KNOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251G0304X
Geriatric Physical Therapist
—
—
Other
Enumeration date
05/25/2017
Last updated
07/21/2021
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