Provider Demographics
NPI:1750458972
Name:KRUHM, JANET DEANNE (ATC)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:DEANNE
Last Name:KRUHM
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:MS
Other - First Name:JANET
Other - Middle Name:DEANNE
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2004 SPROUL RD 1ST FLOOR
Mailing Address - Street 2:PREMIER SURGICAL ORTHOPEDIC ASSOCIATES
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008
Mailing Address - Country:US
Mailing Address - Phone:610-353-0800
Mailing Address - Fax:610-359-1686
Practice Address - Street 1:2004 SPROUL RD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008
Practice Address - Country:US
Practice Address - Phone:610-353-0800
Practice Address - Fax:610-359-1686
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0030272255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer