Individual
BRENDA KNIPPENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL,CWT,SLPA
Contact information
Practice address
450 S ACACIA APT 1069, MESA, AZ 85204-2946
(480) 704-3550
Mailing address
450 S ACACIA APT 1069, MESA, AZ 85204-2946
(480) 704-3550
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2892
AZ
2355S0801X
Speech-Language Assistant
Primary
—
AZ
Other
Enumeration date
05/03/2007
Last updated
09/11/2025
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