Individual
JULIANA KROESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
539 E GLENDALE AVE, SUITE 105, PHOENIX, AZ 85020-4900
(602) 241-3145
(602) 241-3146
Mailing address
4715 N 32ND ST, SUITE 108, PHOENIX, AZ 85018-3300
(480) 689-5520
(480) 706-7409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10818
AZ
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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