Female

Catherine L. Knickerbocker PT

Physical Therapist in Tallahassee, FL(View on Map)

Full Name

Catherine L Knickerbocker PT

NPI Number

1417909763

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/16/2006

Specialties

(Taxonomies)

Code

225100000X

Primary Taxonomy

Yes

Licenses

State

Florida
Georgia

License Number

PT4063
PT004553

Contact
Information

Purpose

Mailing
Location

Address

3147 FERNS GLEN DR
3147 FERNS GLEN DR

City

Tallahassee
Tallahassee

State

FL
FL

Postal Code

32309-2303
32309-2303

Country

US
US

Telephone Number

(229) 224-1282
(229) 224-1282

Identifiers

Identifier

000688157H
000688157E

Identifier State

GA
GA

Identifier Issuer

Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/17/2008

Provider Address

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