Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | ||
N | 2251G0304X | Physical Therapist - Geriatrics | 7640 | FL |
N | 2251N0400X | Physical Therapist - Neurology | 7640 | FL |
NPI | 1164485744 |
---|---|
Provider Name | Miss Kristin M Kreitzer |
First Address | Boca Raton, FL 33431-7534 |
Second Address | Boca Raton, FL 33431-7534 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 08/07/2007 |