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General NPI Number Information
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NPI Number | 1134090525
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Entity Type | Individual
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Provider Name | KAITLYN KNOCK OT
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Gender | Female
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1497 S QUEEN ST
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City | YORK
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State | PA
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Zip | 17403-3852
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Country | US
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Telephone | 717-430-8896
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Fax |
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Provider Business Mailing Address
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Address Line | 1631 GRAYSTONE RD
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City | MANHEIM
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State | PA
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Zip | 17545-8875
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0C021040
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License Number State | PA
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