Individual
ELISE MCDONNER FRIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
400 HOSPITAL RD, NEW ROADS, LA 70760-2623
(225) 638-4404
Mailing address
6764 LONE OAK DR, ERWINVILLE, LA 70729-2642
(225) 229-5517
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09628
LA
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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