Individual
CHRISTOPHER T KRUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1405 MONTGOMERY DR, SANTA ROSA, CA 95405-4557
(707) 546-1922
(707) 546-1897
Mailing address
1405 MONTGOMERY DR, SANTA ROSA, CA 95405-4557
(707) 546-1922
(707) 546-1897
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20143
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT201430
CIGNA DME
—
01
—
PT20143
LICENSE NUMBER
CA
Enumeration date
05/04/2007
Last updated
05/02/2009
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