Individual
MRS. KELLY KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
255 FRONT ST, BEREA, OH 44017-1943
(144) 089-1344
Mailing address
255 FRONT ST, BEREA, OH 44017-1943
(144) 089-1344
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
01068
OH
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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