Individual
MARYANNE KRUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
60 W 94TH PL, CROWN POINT, IN 46307-1710
(219) 661-9508
(219) 661-9509
Mailing address
60 W 94TH PL, CROWN POINT, IN 46307-1710
(219) 661-9508
(219) 661-9509
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001441A
IN
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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