Individual
MS. ELLEN KROOG DONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14391 METROPOLIS AVE, SUITE 101, FORT MYERS, FL 33912-4423
(239) 561-2778
Mailing address
16610 WILLOW POINT CT, ALVA, FL 33920-3162
(239) 850-7183
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19135
FL
Other
Enumeration date
12/30/2011
Last updated
05/16/2022
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