Provider Demographics
NPI:1407865421
Name:KNIGHT-PALAZZO, CYNTHIA GAIL (PT)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:GAIL
Last Name:KNIGHT-PALAZZO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:KNIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTMSOCS
Mailing Address - Street 1:35902 HWY 27
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-3737
Mailing Address - Country:US
Mailing Address - Phone:863-421-1777
Mailing Address - Fax:863-421-7070
Practice Address - Street 1:35902 HWY 27
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-3737
Practice Address - Country:US
Practice Address - Phone:863-421-1777
Practice Address - Fax:863-421-7070
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL242922251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1407865421Medicare UPIN