JACK MCKNIGHT PT, DPT
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1104296581- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PT, DPT
- Status
- Active
Contact & Location
- Address
- 19712 POPLAR ST, BEND, OR, 977029036
- Phone
- (951) 537-4424
- Fax
- (858) 279-5303
Specialties & Taxonomies
Physical Therapist
License: CA #PT 43134
Physical Medicine & Rehabilitation
Primary License: OR #62235