Individual
MISS NICOLE MARIE FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3505 LAKE LYNDA DR, SUITE 207, ORLANDO, FL 32817-8324
(877) 896-3660
Mailing address
9302 FIRENZE DR APT 105, PALM BEACH GARDENS, FL 33418-8140
(614) 634-3783
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA06142
OH
225200000X
Physical Therapy Assistant
Primary
PTA20743
FL
Other
Enumeration date
05/26/2007
Last updated
07/08/2007
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