Individual
MS. DIANE LYNNE FROEHLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
155 DUNDERBERG RD, CENTRAL VALLEY, NY 10917-3507
(845) 460-7647
Mailing address
326 BEAVER DAM RD, MONTGOMERY, NY 12549-2803
(458) 522-4300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001203-01
NY
2255A2300X
Athletic Trainer
25MT00126500
NJ
Other
Enumeration date
06/04/2007
Last updated
01/23/2020
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