Individual
ELIZABETH FRIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 AIRPORT RD STE A, DESTIN, FL 32541-2822
(850) 837-3349
Mailing address
807 PIPPIN DR, NICEVILLE, FL 32578-4704
(850) 217-2340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT22354
LICENSE #
FL
Enumeration date
08/28/2006
Last updated
05/17/2011
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