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General NPI Number Information
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NPI Number | 1225179336
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Entity Type | Individual
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Provider Name | HEATHER KNOEFERL B.S., OTR
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Gender | Female
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 3300 S UNIVERSITY DR DEPT TERRY
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City | FT LAUDERDALE
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State | FL
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Zip | 33328-2004
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Country | US
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Telephone | 954-262-1233
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Fax |
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Provider Business Mailing Address
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Address Line | 437 GOLDEN ISLES DR APT 14H
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-7558
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Country | US
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Telephone | 913-972-4557
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1702344
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License Number State | KS
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