Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CX0006X | Orientation and Mobility Training Provider | 6824 |
NPI | 1679042543 |
---|---|
Provider Name | Allison Knigge |
First Address | Saint Louis, MO 63146-3209 |
Second Address | Saint Louis, MO 63146-3209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2018 |
Last Update Date | 20/11/2018 |