Individual
MS. AUTUMN LEIGH KRUISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
916 HICKORY ST, HOLLIDAYSBURG, PA 16648-2248
(814) 696-4537
(814) 696-4537
Mailing address
425 BELLVIEW ST, ALTOONA, PA 16602-4003
(814) 944-9759
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE006955
PA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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