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NPI Code Detail

MEDICARE: KATHERINE SANDKNOP DPT

MEDICARE: KATHERINE SANDKNOP DPT
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
1225100000XPhysical Therapist4665ID
2225100000XPhysical TherapistP100316ENC
3225100000XPhysical TherapistP-CP001059TNC
4225100000XPhysical Therapist2305215420VA
5225100000XPhysical Therapist1943SD

General Provider Information

NPI Number : 1689129975
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE SANDKNOP DPT
Provider Business Mailing Address
First Line : PO BOX 412307
Second Line :
City : BOSTON
State : MA
Zip : 02241-2307
Country : US
Telephone Number : 914-294-4050
Fax Number : 631-760-8306
Provider Business Practice Location Address
First Line : 3509 GRANBY ST STE B
Second Line :
City : NORFOLK
State : VA
Zip : 23504-1312
Country : US
Telephone Number : 757-423-8885
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2016
Last Update Date : 02/04/2026

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Directions to “ KATHERINE SANDKNOP DPT” Practice Location

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