Individual
ALEXANDER KRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1778 FOUNTAIN DR, RESTON, VA 20190-3390
(703) 956-8930
Mailing address
12811 WREXHAM RD, HERNDON, VA 20171-2401
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601699
VA
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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