Individual
PHYLLIS G KRUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
465 OGDEN AVE, TEANECK, NJ 07666-2820
(201) 837-8617
Mailing address
465 OGDEN AVE, TEANECK, NJ 07666-2820
(201) 837-8617
Taxonomy
Speciality
Code
Description
License number
State
2251C2600X
Cardiopulmonary Physical Therapist
Primary
40QA00216700
NJ
Other
Enumeration date
11/28/2006
Last updated
09/20/2011
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