Individual
LORA S KNOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
291 E MAIN ST STE E, LOS GATOS, CA 95030-6137
(408) 354-2223
Mailing address
291 E MAIN ST STE E, LOS GATOS, CA 95030-6137
(408) 354-2223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA48168
CA
Other
Enumeration date
12/13/2017
Last updated
03/17/2018
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