Individual
PAMELA SUE KNICKERBOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
325 E EISENHOWER PKWY, 2ND FLOOR, ANN ARBOR, MI 48108-3364
(734) 763-4797
(734) 763-3715
Mailing address
8456 PONTIAC TRL, SOUTH LYON, MI 48178-7018
(734) 763-4797
(734) 763-3715
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501003010
MI
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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