Provider Demographics
NPI:1912991126
Name:KRONER, ROBERT H (PT)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:H
Last Name:KRONER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 HOLIDAY LN
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16125-9793
Mailing Address - Country:US
Mailing Address - Phone:724-588-8640
Mailing Address - Fax:
Practice Address - Street 1:38 STEWART AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16125-1978
Practice Address - Country:US
Practice Address - Phone:724-588-4452
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002057L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACO1341339OtherHIGHMARK BLUESHIELD
PA122288Medicare ID - Type UnspecifiedMEDICARE
PAP47421Medicare UPIN