Individual
MISS JILL KRAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3233 W PEORIA AVE, SUITE 224, PHOENIX, AZ 85029-4614
(602) 866-2231
(602) 866-2261
Mailing address
3233 W PEORIA AVE, SUITE 224, PHOENIX, AZ 85029-4614
(602) 866-2231
(602) 866-2261
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3228
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501032
—
AZ
01
—
893851
AHCCCS
AZ
01
—
AZ0310170
BCBS
AZ
Enumeration date
08/26/2005
Last updated
03/05/2008
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