Individual
MIRANDA KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4810 BARBICAN AVE, WESTON, WI 54476-4186
(715) 393-0400
(715) 393-0938
Mailing address
4810 BARBICAN AVE, WESTON, WI 54476-4186
(715) 393-0400
(715) 393-0938
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2338-19
WI
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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