Individual
KRISTEN KNISLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 DOGWOOD DR, PHILIPSBURG, PA 16866-1982
(814) 342-8400
Mailing address
301 ROCK RUN RD, ROCKTON, PA 15856-1707
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007569
PA
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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