Individual
MITCHELL FREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1995 HIGHWAY 62 412, HIGHLAND, AR 72542-9262
(870) 856-4325
Mailing address
1995 HIGHWAY 62 412, P.O. BOX 398, HIGHLAND, AR 72542-9262
(870) 856-4325
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3972
AR
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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