Individual
NICOLE KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3915 GOLDEN VALLEY RD, MINNEAPOLIS, MN 55422-4249
(763) 520-0526
(763) 520-0726
Mailing address
3915 GOLDEN VALLEY RD, MINNEAPOLIS, MN 55422-4249
(763) 520-0526
(763) 520-0726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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