Doctor Name: | SHAINA KRAUS |
NPI Number: | 1609970391 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ATC |
License Number: | 000056 |
Business Practice Address: | 29 N Main St West Hartford, CT - 061071933 |
Business Phone Number: | 8605613960 |
Business Fax Number: | 8605614803 |
Mailing Address: | 151 Atwoodville Rd, MANSFIELD CENTER |
State: | CT |
Postal Code: | 062501148 |
Phone Number: | 8603776080 |
Fax Number: | |
NPI Enumeration Date: | 09/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 000056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |