Individual
MRS. ELIZABETH ANN KROGMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEVELOPMENTAL THERAP
Contact information
Practice address
1131 ETON ST, WEST LAFAYETTE BRA, IN 47906-1352
(765) 414-1311
Mailing address
1131 ETON ST, WEST LAFAYETTE BRA, IN 47906-1352
(765) 414-1311
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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