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Individual

BETH ANNE KRUEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
16W301 91ST ST, BURR RIDGE, IL 60527-6368
(773) 633-6211
Mailing address
5830 OAKWOOD DR APT 2B, LISLE, IL 60532-2960
(630) 408-7992

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009063
IL

Other

Enumeration date
10/21/2020
Last updated
10/21/2020
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