LARS ERIK KRUSHOLM

FPO, AP
NPI1356312532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT 23727)
Enumeration Date2006-01-27
Last Update Date2008-04-20
Business Address
Mr. LARS ERIK KRUSHOLM PT
MEDICAL DEPT USS KITTY HAWK CV-63
FPO, AP 96634
Phone number: 901-855-1755
Mailing Address
Mr. LARS ERIK KRUSHOLM PT
MEDICAL DEPT USS KITTY HAWK CV-63
FPO, AP 96634
Phone number: 901-855-1755