Individual
NICHOLAS KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 1ST ST N, ELLENDALE, ND 58436-7296
(701) 426-1568
Mailing address
201 1ST ST N, ELLENDALE, ND 58436-7296
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-3361
MT
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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