Provider Demographics
NPI:1366252652
Name:KRUG, GIULIANNE (OTR, PHD)
Entity type:Individual
Prefix:DR
First Name:GIULIANNE
Middle Name:
Last Name:KRUG
Suffix:
Gender:F
Credentials:OTR, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2106 RED ROCK DR
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-1300
Mailing Address - Country:US
Mailing Address - Phone:573-289-2117
Mailing Address - Fax:
Practice Address - Street 1:2106 RED ROCK DR
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-1300
Practice Address - Country:US
Practice Address - Phone:573-289-2117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118525225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist