Individual
KATHLEEN KNAUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2080 NJ 35 #1, HOLMDEL, NJ 07733
(732) 241-3725
Mailing address
606 PHILADELPHIA BLVD, SEA GIRT, NJ 08750-2504
Taxonomy
Speciality
Code
Description
License number
State
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
25MT00240700
NJ
2255A2300X
Athletic Trainer
Primary
25MT00240700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2565
SELF EMPLOYED
—
Enumeration date
03/12/2020
Last updated
05/11/2021
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