Individual
SERENA PRATHER KNAUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6510 NORMAN CT, CRESTWOOD, KY 40014-8963
(773) 428-8711
Mailing address
6510 NORMAN CT, CRESTWOOD, KY 40014-8963
(773) 428-8711
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
166076
KY
Other
Enumeration date
06/05/2007
Last updated
01/24/2017
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