Individual
ALISA J KNOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
40 MAPLE ST, PORTLAND, ME 04101-4553
(207) 899-1922
(207) 899-1923
Mailing address
40 MAPLE ST, PORTLAND, ME 04101-4553
(207) 899-1922
(207) 899-1923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1715
ME
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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