Doctor Name: | MR. MICHAEL KNOX |
NPI Number: | 1003962382 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 40QA00760600 |
Business Practice Address: | 3200 Sunset Ave Suite 205 Ocean, NJ - 077124567 |
Business Phone Number: | 7325028850 |
Business Fax Number: | 7325023199 |
Mailing Address: | 3200 Sunset Ave, Suite 205 OCEAN |
State: | NJ |
Postal Code: | 077124567 |
Phone Number: | 7325028850 |
Fax Number: | 7325023199 |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 09/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 40QA00760600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |