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Individual

MR. DOUGLAS DENNIS FRIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MAPT

Contact information

Practice address
101 BRYCE MEADOW DR, HOLLY SPRINGS, NC 27540-6218
(919) 267-3114
Mailing address
101 BRYCE MEADOW DR, HOLLY SPRINGS, NC 27540-6218

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
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