Individual
MR. DOUGLAS DENNIS FRIE
Active
Individual
MR. DOUGLAS DENNIS FRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
016588
NY
225100000X
Physical Therapist
Primary
P10585
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2504249
MEDICARE PTAN
NC
Enumeration date
07/20/2006
Last updated
01/26/2009
Update your record
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