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Individual
MS. ROCHELLE LEE KRUEGER
Active
Individual
MS. ROCHELLE LEE KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636141
BLUE SHIELD PROVIDER NUMB
IL
01
—
Q34H41
ORTHO NET PROVIDER NUMBER
IL
Enumeration date
08/19/2006
Last updated
07/08/2007
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