| NPI | 1043451495 |
|---|---|
| Former Name | SHANNON KRUGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501017661) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-016974) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2018-06-18 |