JOEL C KNICKERBOCKER

DADE CITY, FL
NPI1639145154
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT0003564)
Enumeration Date2006-02-24
Last Update Date2009-11-20
Business Address
MR. JOEL C KNICKERBOCKER RPT
37104 CLINTON AVE
DADE CITY, FL 33525-5911
Phone number: 352-521-0002
Mailing Address
MR. JOEL C KNICKERBOCKER RPT
PO BOX 1001
DADE CITY, FL 33526-1001
Phone number: 352-521-0002
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