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Individual

MRS. KRISTIN MARLENA FRANDSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10382-024
WI
225100000X
Physical Therapist
Primary
PTL.0013089
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41810600
WI
Enumeration date
03/17/2006
Last updated
10/24/2016
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