Individual
LAURIE KREUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2865 N REYNOLDS RD STE 110, TOLEDO, OH 43615-2069
(419) 578-7530
(419) 539-0288
Mailing address
3638 BOWEN RD, TOLEDO, OH 43613-4825
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-04498
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000140522
ANTHEM PROVIDER NUMBER
OH
Enumeration date
02/21/2007
Last updated
07/08/2007
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