Individual
LORI KRAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201
(313) 745-1100
Mailing address
5514 LANCASTER LN, COMMERCE TOWNSHIP, MI 48382-2887
(248) 305-7503
(248) 387-3233
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5501010549
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871805150
—
MI
Enumeration date
10/29/2015
Last updated
06/07/2018
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