Individual
CONNIE FROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02740
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02740
PT LICENSE
LA
01
—
1053570333
BLUE CROSS/BLUE SHIELD
—
Enumeration date
06/03/2008
Last updated
01/30/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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