Individual
MRS. KRISTEN WASSUNG
Active
Individual
MRS. KRISTEN WASSUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005244
IA
225100000X
Physical Therapist
Primary
3208
NE
225100000X
Physical Therapist
3216
ID
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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