| Doctor Name: | THERESA ANN KNOLL |
| NPI Number: | 1124264478 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | 8149 |
| Business Practice Address: | 3475 S Alpine Rd Physicians Immediate Care Rockford, IL - 611092604 |
| Business Phone Number: | 8158748000 |
| Business Fax Number: | 8158747525 |
| Mailing Address: | Po Box 2176, MILWAUKEE |
| State: | WI |
| Postal Code: | 532012176 |
| Phone Number: | 8157132600 |
| Fax Number: | 8156548020 |
| NPI Enumeration Date: | 12/16/2008 |
| NPI Last Update Date: | 05/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 8149 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |