Individual
MATTHEW W KRASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
925 PIEDMONT ST, ROANOKE, AL 36274-2130
(334) 863-3535
(334) 863-7276
Mailing address
1514 OWENS ST, GADSDEN, AL 35904-4938
(256) 543-1030
(256) 439-2830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH5343
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7339753
DRIVERS LICENSE
AL
Enumeration date
01/27/2009
Last updated
01/27/2009
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