Healthcare Provider Details

I. General information

NPI: 1457336430
Provider Name (Legal Business Name): WILLIAM A KNAPP MS, PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 05/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 HARTMAN BRIDGE RD STRASBURG SQUARE
RONKS PA
17572-9508
US

IV. Provider business mailing address

340 HARTMAN BRIDGE RD STRASBURG SQUARE
RONKS PA
17572-9508
US

V. Phone/Fax

Practice location:
  • Phone: 570-842-9323
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberPT012185L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT012185L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: