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NPI Code Detail

MEDICARE: ERIN HARKINS KRUEGER DPT

MEDICARE: ERIN HARKINS KRUEGER DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist11312NC

General Provider Information

NPI Number : 1841473824
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN HARKINS KRUEGER DPT
Provider Business Mailing Address
First Line : 4012 PARK RD STE 200
Second Line :
City : CHARLOTTE
State : NC
Zip : 28209-2378
Country : US
Telephone Number : 704-541-9080
Fax Number :
Provider Business Practice Location Address
First Line : 4012 PARK RD STE 200
Second Line :
City : CHARLOTTE
State : NC
Zip : 28209-2378
Country : US
Telephone Number : 704-541-9080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2007
Last Update Date : 08/05/2025

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