Provider Demographics
NPI:1689149908
Name:KNOESS, AMY M
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:M
Last Name:KNOESS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:M
Other - Last Name:FROCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:41 ACORN CIR
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17202-3101
Mailing Address - Country:US
Mailing Address - Phone:717-377-4184
Mailing Address - Fax:
Practice Address - Street 1:41 ACORN CIR
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17202-3101
Practice Address - Country:US
Practice Address - Phone:717-377-4184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-13
Last Update Date:2018-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant