# HANS ALBERT STENFERT KROESE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1770350241
- **Gender:** Man
- **Credential:** P.T. MOMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 04304 | OR | Yes |

## Other

- **Enumeration date:** 12/05/2023
- **Last updated:** 12/05/2023