| NPI | 1568895803 |
|---|---|
| Former Name | JOANN D KRACL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 23388) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 009282) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |