Individual
MICHAEL KROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4704 COUNTRY AIRE DR, WACO, TX 76708-5629
(254) 716-6656
Mailing address
4704 COUNTRY AIRE DR, WACO, TX 76708-5629
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2045268
TX
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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