NPI | 1891000840 |
---|---|
Former Name | PEGGY KRUG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT25496) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2010-08-15 |
Last Update Date | 2017-10-06 |