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Individual
NICHOLE E FRIEDERICH
Active
Individual
NICHOLE E FRIEDERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019275
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0702012868691
DPR ID#
IL
Enumeration date
08/06/2012
Last updated
08/06/2012
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