Individual
KIM M KNUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
601 CRAWFORD ST, KELSO, WA 98626-4315
(360) 501-1904
Mailing address
PO BOX 7072, PUEBLO WEST, CO 81007-0072
(719) 696-1160
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60868743
WA
Other
Enumeration date
08/23/2011
Last updated
08/20/2018
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