Pamela Sue Knickerbocker in South Lyon - Orthopedic

Pamela Sue Knickerbocker - NPI 1578785242

Pamela Sue Knickerbocker is a Orthopedic in South Lyon, Michigan. Pamela Sue Knickerbocker practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Pamela Sue Knickerbocker is 1578785242. The last update date is 2007-07-08.

Pamela Sue Knickerbocker's current location address is 8456 Pontiac Trl, South Lyon, Michigan. You can contact this provider via phone number 7347634797 and fax number 7347633715. The mailing address for Pamela Sue Knickerbocker is 8456 Pontiac Trl, South Lyon, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Pamela Sue Knickerbocker
Address 8456 Pontiac Trl, South Lyon, Michigan
Phone Number 7347634797
Fax Number 7347633715
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1578785242
Provider Enumeration Date 2007-05-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8456 Pontiac Trl
City South Lyon
State Michigan (MI)
Post Code 481787018
Phone Number 7347634797
Fax Number 7347633715

Provider's Primary Taxonomy Detail

Speciality Orthopedic
Taxonomy 2251X0800X
Licence No 5501003010
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat

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FAQs about Pamela Sue Knickerbocker

What is the unique 10-digit identification code assigned to Pamela Sue Knickerbocker by the Centers for Medicare & Medicaid Services?

The Pamela Sue Knickerbocker has been issued the NPI (National Provider Identifier) 1578785242, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Pamela Sue Knickerbocker's facilities are geographically located?

The facilities of Pamela Sue Knickerbocker are physically situated at the following location: 8456 Pontiac Trl, South Lyon, MI, 481787018.

What is Pamela Sue Knickerbocker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Pamela Sue Knickerbocker is Orthopedic, and the taxonomy classification code that categorizes this area of expertise is 2251X0800X.

When was the Pamela Sue Knickerbocker's 1578785242 issued?

The Pamela Sue Knickerbocker's 1578785242 was issued on 2007-05-03.

As of what date was the information regarding Pamela Sue Knickerbocker, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Pamela Sue Knickerbocker, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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