Healthcare Provider Details

I. General information

NPI: 1376831065
Provider Name (Legal Business Name): CHRISTINE MARIE KRAUS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2011
Last Update Date: 07/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 N MEADOWS RD
MEDFIELD MA
02052-2317
US

IV. Provider business mailing address

19 JORIE LN
WALPOLE MA
02081-1923
US

V. Phone/Fax

Practice location:
  • Phone: 508-359-9119
  • Fax: 508-359-9115
Mailing address:
  • Phone: 508-668-5225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5268
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: