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Individual

JENNI L FREIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
9101 PINEVILLE MATTHEWS RD STE D, PINEVILLE, NC 28134-8826
(704) 323-3303
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2237

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P12521
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407874464
NC
Enumeration date
07/18/2006
Last updated
06/09/2021
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