| NPI | 1417056052 |
|---|---|
| Other Name | JILL KRUEGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 5796) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 5088) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |