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Individual

COREY KNIERIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1005 E 23RD ST, FREMONT, NE 68025-0800
(866) 784-2329
Mailing address
110 PATTERSON AVE, ALIQUIPPA, PA 15001-1230

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007185
PA

Other

Enumeration date
07/18/2012
Last updated
07/18/2012
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