National Provider Identifier

Laura Jean Krog

Laura Jean Krog is listed in the NPPES registry with a primary specialty of Physical Therapist in Williamsville, NY and a listed phone number of (716) 632-3700.

NPI 1093995011Williamsville, NYPhysical Therapist

Profile Overview

NPI
1093995011
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
November 07, 2007
Last Updated
November 07, 2007

Practice Location

  • 2699 Wehrle Dr
  • Williamsville, NY 14221-7332

Phone: (716) 632-3700

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1093995011
Entity Type
Individual
Last Name
Krog
First Name
Laura
Middle Name
Jean
Name Prefix
Mrs.
Mailing Street Address
2699 Wehrle Dr
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-7332
Mailing Country
US
Mailing Phone
(716) 632-3700
Mailing Fax
(716) 632-5083
Practice Street Address
2699 Wehrle Dr
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-7332
Practice Country
US
Practice Phone
(716) 632-3700
Practice Fax
(716) 632-5083
Enumeration Date
November 07, 2007
Last Updated
November 07, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)