Individual
CHERYL ANN KRAFFT-MEALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.013517
IL
225100000X
Physical Therapist
PT 008338
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0044540650
BLUECROSS BLUESHIELD PROV
—
01
—
0044541187
BLUECROSS BLUESHIELD PROV
—
Enumeration date
01/12/2007
Last updated
09/28/2010
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