Individual
KRAMER JAKUBEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
426 INDUSTRIAL AVE STE 190, WILLISTON, VT 05495-7904
(802) 860-4360
(802) 488-3160
Mailing address
426 INDUSTRIAL AVE STE 190, WILLISTON, VT 05495-7904
(802) 489-6245
(802) 876-7096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400134115
VT
2251X0800X
Orthopedic Physical Therapist
40QA01527800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6702569
—
VT
Enumeration date
12/02/2013
Last updated
06/18/2020
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