Tanya Marie Knoup, DT

NPI #1205132172 in Lena, Illinois

Provider Information

NPI Number
1205132172
Entity Type
Individual
Name
Tanya Marie Knoup, DT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Health Worker
Credential
DT
Enumeration Date
Feb 9, 2011
Last Updated
Feb 9, 2011

Practice Location

Address
8475 W MOUND RD
City
Lena
ZIP Code
61048-9016
Phone
(815) 238-8908

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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