MR. Howard Gustav Krebaum JR., PT

NPI #1760464069 in Centereach, New York

Provider Information

NPI Number: 1760464069
Entity Type: Individual
Name: MR. Howard Gustav Krebaum JR., PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 14, 2005
Last Updated: Mar 29, 2011

Practice Location

Address: 37 BELLEWOOD AVE
City: Centereach
State: New York
ZIP Code: 11720-1142
Phone: (631) 981-6021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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