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Individual
MARIE CEREMSAK FRITZBERG
Active
Individual
MARIE CEREMSAK FRITZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003053
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23682U
REGENCE BLUE SHIELD PIN
WA
Enumeration date
08/31/2006
Last updated
05/13/2020
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