Individual
REBECCA KNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
132 DEBORAH LN, BRUNSWICK, GA 31525-9489
(912) 602-4107
Mailing address
132 DEBORAH LN, BRUNSWICK, GA 31525-9489
(912) 602-4107
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001364
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040502010
NATABOC
—
01
—
AT001364
SECRETARY OF STATE
GA
Enumeration date
08/11/2015
Last updated
08/11/2015
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