Provider Demographics
NPI:1164839833
Name:KRONBERG, ERIN L (LPTA)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:L
Last Name:KRONBERG
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6855 SPRING VALLEY DR STE 155
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-9374
Mailing Address - Country:US
Mailing Address - Phone:419-291-8900
Mailing Address - Fax:419-866-1316
Practice Address - Street 1:6855 SPRING VALLEY DR STE 155
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-9374
Practice Address - Country:US
Practice Address - Phone:419-291-8900
Practice Address - Fax:419-866-1316
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH05730225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant