Individual
JESSICA KNUTELSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
8811 CHARLOTTE HWY STE 101, INDIAN LAND, SC 29707-7901
(803) 973-4183
Mailing address
PO BOX 412066, BOSTON, MA 02241-2066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12268
SC
225100000X
Physical Therapist
P22904
NC
Other
Enumeration date
02/02/2024
Last updated
03/01/2024
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