Individual
MRS. KELLY KRISTIN FREGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
159 W 1ST ST, OSWEGO, NY 13126-2260
(315) 342-9575
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008761-1
NY
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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