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Individual
MR. JOHN KRAVETZ III
Active
Individual
MR. JOHN KRAVETZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013444L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206217
HEALTH AMER/HEALTH ASSUR.
PA
01
—
KR1407249
HIGHMARK BLUE SHIELD
PA
Enumeration date
10/05/2006
Last updated
11/30/2011
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