Individual
CORY JOSEPH FRITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT/ATC/CAFS
Contact information
Practice address
1307 OLD JEANERETTE RD, NEW IBERIA, LA 70563-5801
(337) 652-6310
Mailing address
1009 N TRAHAN AVE, KAPLAN, LA 70548-2226
(337) 652-6310
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200314
LA
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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