Individual
JENNIFER MARIE KROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4655 66TH ST N, KENNETH CITY, FL 33709-4827
(727) 546-4700
Mailing address
9921 62ND ST N, PINELLAS PARK, FL 33782-3126
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30123
FL
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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