Individual
KRISTJAN INGI FRIDRIKSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5920 GRELOT RD, BUILDING H, SUITE B, MOBILE, AL 36609-3606
(251) 343-1178
(251) 343-1741
Mailing address
5920 GRELOT RD, BUILDING H, SUITE B, MOBILE, AL 36609-3606
(251) 343-1178
(251) 343-1741
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PTH3558
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51501631
BCBS OF ALABAMA
AL
Enumeration date
07/06/2006
Last updated
07/08/2007
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