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NPI Code Detail

MEDICARE: HEATHER S KNIGHT PTA

MEDICARE: HEATHER S KNIGHT PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant8448MA
2225200000XPhysical Therapy Assistant0758NH

General Provider Information

NPI Number : 1396034088
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER S KNIGHT PTA
Provider Business Mailing Address
First Line : 80 HOLMES AVE
Second Line :
City : BROCKTON
State : MA
Zip : 02302-2160
Country : US
Telephone Number : 603-738-5336
Fax Number :
Provider Business Practice Location Address
First Line : 184 LINCOLN ST
Second Line :
City : NORTH EASTON
State : MA
Zip : 02356-1799
Country : US
Telephone Number : 508-238-7053
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2011
Last Update Date : 04/01/2011

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Directions to “ HEATHER S KNIGHT PTA” Practice Location

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