Individual
MRS. JEANETTE M KROGSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1046 PILINUT CT, SUNNYVALE, CA 94087-1841
(408) 718-7788
Mailing address
1046 PILINUT CT, SUNNYVALE, CA 94087-1841
(408) 718-7788
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT18777
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT18777
STATE LICENSE NUMBER
CA
Enumeration date
01/07/2008
Last updated
08/31/2015
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