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Individual

JESSICA FRISHBERG FUCHS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5513 CHAMBLEE DUNWOODY RD, DUNWOODY, GA 30338-4106
(770) 551-9633
Mailing address
4800 MEXICO RD 104, SAINT PETERS, MO 63376-1666
(636) 939-9540
(636) 939-9886

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2015028093
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
943423122
INSURANCE PROVIDER NUMBER
SC
01
P00263716
MEDICARE RAILROAD NUMBER
SC
Enumeration date
07/19/2006
Last updated
12/02/2015
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