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Individual

COREY S FRAER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
9050 IRON HORSE LN APT 127, PIKESVILLE, MD 21208-2159
(443) 617-1922
Mailing address
9050 IRON HORSE LN APT 127, PIKESVILLE, MD 21208-2159
(443) 617-1922

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5186
MD

Other

Enumeration date
12/13/2020
Last updated
12/13/2020
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