Individual
MARK M. KNEIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1601 SE 24TH RD, OCALA, FL 34471-6003
(352) 591-4941
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 8851
FL
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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