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Individual

DANIELLE RENEE FRIEDLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, ATC

Contact information

Practice address
1307 S BROADWAY ST, TOLEDO, IA 52342-2307
(641) 484-5253
Mailing address
1307 S BROADWAY ST, TOLEDO, IA 52342-2307
(641) 484-5253

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03538
IA
2255A2300X
Athletic Trainer
00322
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
035276
BLUE CROSS BLUE SHIELD
IA
05
0433441
IA
Enumeration date
01/24/2006
Last updated
01/25/2009
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