Individual
CHERYL LEE KRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 N GLEBE RD STE 410, ARLINGTON, VA 22201-5931
(571) 414-6930
Mailing address
2600 CRYSTAL DR APT 1314, ARLINGTON, VA 22202-3576
(703) 338-8227
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604497
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2306604497
PTA LICENSE
VA
Enumeration date
04/26/2020
Last updated
04/26/2020
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