Mallory Knoblauch

NPI #1992224273 in Colwich, Kansas

Provider Information

NPI Number: 1992224273
Entity Type: Individual
Name: Mallory Knoblauch
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 18, 2017
Last Updated: Apr 11, 2018

Practice Location

Address: 16633 W 45TH ST N
City: Colwich
State: Kansas
ZIP Code: 67030-9455
Phone: (316) 208-6084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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