Individual
AMY KRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17796 SW 2ND ST, PEMBROKE PINES, FL 33029-3923
(954) 438-7800
Mailing address
4702 SW 160TH AVE APT 320, MIRAMAR, FL 33027-5710
(954) 401-2178
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21093
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT21093
LICENSE #
FL
Enumeration date
08/30/2006
Last updated
07/08/2007
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