Doctor Name: | MISS LAUREN JADE KRULIS |
NPI Number: | 1154673572 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | P85711 |
Business Practice Address: | Columbus Circle @ 60th Street 1841 Broadway Suite 1100 Ny, NY - 10023 |
Business Phone Number: | 2123555550 |
Business Fax Number: | |
Mailing Address: | 31 Saint Marks Pl Apt 1, NEW YORK |
State: | NY |
Postal Code: | 100037818 |
Phone Number: | 7026908234 |
Fax Number: | |
NPI Enumeration Date: | 10/09/2012 |
NPI Last Update Date: | 10/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | P85711 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |