Individual
LISA MONEET KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
(813) 653-1149
Mailing address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
(813) 653-1149
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
SI2086
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000645400
—
FL
Enumeration date
02/10/2009
Last updated
07/02/2012
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