Individual
CAMILLA BETH KNACKSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
238531
OR
225X00000X
Occupational Therapist
OT60010440
WA
Other
Enumeration date
04/10/2008
Last updated
10/02/2024
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