Individual
MISS JORDAN KREUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2001 N JEFFERSON AVE, MOUNT PLEASANT, TX 75455-2338
(903) 577-6000
Mailing address
225 TENNISON RD APT 4208, MOUNT PLEASANT, TX 75455-9358
(832) 498-7114
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2131697
TX
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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