Individual
DR. JONATHON IVAN KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1 FREEDOM WAY, PT GYM 1G127, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 731-7159
Mailing address
1 FREEDOM WAY, PT GYM 1G127, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 731-7159
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010699
GA
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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