Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | TEI002106 | PA |
NPI | 1043714702 |
---|---|
Provider Name | Beth Knarr |
First Address | Lock Haven, PA 17745-3229 |
Second Address | Lock Haven, PA 17745-3029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2018 |
Last Update Date | 19/03/2018 |