Individual
BENJAMIN KRUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
1500 W ELK AVE STE 104, ELIZABETHTON, TN 37643-2655
(423) 543-2215
Mailing address
1975 W ELK AVE, ELIZABETHTON, TN 37643-3787
(423) 543-0073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6785
TN
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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