Individual
MS. DIANE MARIE KNOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
11550 N MERIDIAN ST STE 312, CARMEL, IN 46032-4562
(317) 815-0778
Mailing address
1517 S NANCY ST, BLOOMINGTON, IN 47401-6038
(812) 219-0659
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004466A
IN
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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