Individual
ANNA MICHELLE KRAUSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
1685 CONGRESS STREET, PORTLAND, ME 04102
(207) 780-8860
(207) 780-8857
Mailing address
100 FODEN ROAD EAST, SUITE 201, SOUTH PORTLAND, ME 04106
(207) 828-0361
(207) 874-1483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2413
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043403
ANTHEM
—
01
—
7336372
AETNA
—
Enumeration date
06/09/2006
Last updated
07/08/2007
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