Individual
DR. MARY KRUCHOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4560
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4560
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2878
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z15073
MEDICARE IDENTIFICATION NUMBER - (PTAN)
AZ
Enumeration date
05/06/2015
Last updated
05/06/2015
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