Provider Demographics
NPI:1003025859
Name:KNAPP, CYNTHIA BENIKER (LOT)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:BENIKER
Last Name:KNAPP
Suffix:
Gender:F
Credentials:LOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 SHARNOLL CIR
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-4373
Mailing Address - Country:US
Mailing Address - Phone:281-334-4305
Mailing Address - Fax:
Practice Address - Street 1:208 SHARNOLL CIR
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-4373
Practice Address - Country:US
Practice Address - Phone:281-334-4305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104896225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist