Provider Demographics
NPI:1578947909
Name:KNIGHTON, HARRIET (COTA/L)
Entity Type:Individual
Prefix:
First Name:HARRIET
Middle Name:
Last Name:KNIGHTON
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2375 CLIFFT RD
Mailing Address - Street 2:
Mailing Address - City:BOLIVAR
Mailing Address - State:TN
Mailing Address - Zip Code:38008-3822
Mailing Address - Country:US
Mailing Address - Phone:901-485-0088
Mailing Address - Fax:
Practice Address - Street 1:2840 NW 2ND AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6694
Practice Address - Country:US
Practice Address - Phone:800-233-5976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOTA 0000001029171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor