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Individual
MR. HOWARD GUSTAV KREBAUM JR.
Active
Individual
MR. HOWARD GUSTAV KREBAUM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3782
NY
225100000X
Physical Therapist
40QA00122800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01043356
—
NY
Enumeration date
11/14/2005
Last updated
03/29/2011
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