Dr Colleen Knasky, DC | |
2878 Egrets Landing Dr, Lake Mary, FL 32746-7412 | |
(440) 552-3068 | |
Not Available |
Full Name | Dr Colleen Knasky |
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Gender | Female |
Speciality | Chiropractor |
Location | 2878 Egrets Landing Dr, Lake Mary, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1164889200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH11758 (Florida) | Primary |
Provider Name | Life Clinic Of Oh , P.a., Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861066680 PECOS PAC ID: 1557706355 Enrollment ID: O20240304000638 |
Mailing Address | Practice Location Address |
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Dr Colleen Knasky, DC 2878 Egrets Landing Dr, Lake Mary, FL 32746-7412 Ph: () - | Dr Colleen Knasky, DC 2878 Egrets Landing Dr, Lake Mary, FL 32746-7412 Ph: (440) 552-3068 |
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