Individual
MRS. JACQUELINE ANN KNIPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RPT
Contact information
Practice address
1375 ROYAL DEVON DR, MYRTLE BEACH, SC 29575-5853
(843) 457-7004
Mailing address
1375 ROYAL DEVON DR, MYRTLE BEACH, SC 29575-5853
(843) 457-7004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2684
SC
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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