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NPI Code Detail

MEDICARE: MRS. BARBARA KNUTSON P.T.

MEDICARE: MRS. BARBARA KNUTSON P.T.
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 Therapist05-001387AIN

General Provider Information

NPI Number : 1821095852
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BARBARA KNUTSON P.T.
Provider Business Mailing Address
First Line : 1411 OLIVIA CIR
Second Line :
City : SOUTH BEND
State : IN
Zip : 46614-2191
Country : US
Telephone Number : 574-291-8265
Fax Number :
Provider Business Practice Location Address
First Line : 1005 N HICKORY RD
Second Line :
City : SOUTH BEND
State : IN
Zip : 46615-3723
Country : US
Telephone Number : 574-233-5754
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. BARBARA KNUTSON P.T.” Practice Location

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