Individual
MR. SCOTT WAYNE KNUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1633 W BENDER RD, GLENDALE, WI 53209-3801
(414) 228-9440
Mailing address
6454 N 51ST ST, MILWAUKEE, WI 53223-6008
(414) 358-1119
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1307-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40696400
—
WI
Enumeration date
04/25/2007
Last updated
07/09/2007
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