Provider Demographics
NPI:1871995027
Name:KNERR, JOAN LOUISE (COTA/L)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:LOUISE
Last Name:KNERR
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 1:10740 FINCHERIE DR
Mailing Address - Street 2:
Mailing Address - City:CHARDON
Mailing Address - State:OH
Mailing Address - Zip Code:44024-8731
Mailing Address - Country:US
Mailing Address - Phone:440-285-8236
Mailing Address - Fax:
Practice Address - Street 1:585 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:PAINESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44077-5323
Practice Address - Country:US
Practice Address - Phone:440-488-3147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA 1216224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant