Individual
CONNIE KNUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT
Contact information
Practice address
15046 FICUS ST, LAKE ELSINORE, CA 92530-7355
(951) 264-8584
Mailing address
15046 FICUS ST, LAKE ELSINORE, CA 92530-7355
(951) 264-8584
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
863
CA
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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