Doctor Name: | MR. BRIAN C KNUTSEN |
NPI Number: | 1316045081 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OTR/L,CHT |
License Number: | 5789 |
Business Practice Address: | 24b Sandwich Rd Wareham, MA - 025711628 |
Business Phone Number: | 5082957400 |
Business Fax Number: | |
Mailing Address: | 24b Sandwich Rd, WAREHAM |
State: | MA |
Postal Code: | 025711628 |
Phone Number: | 5082957400 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 5789 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |