Individual
CAROLE R FRIEND
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1912 MEMORIAL AVE, LYNCHBURG, VA 24501-1708
(434) 845-8765
Mailing address
1429 NORTHWOOD CIR, LYNCHBURG, VA 24503-1915
(434) 845-8765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004313
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245850
ANTHEM PROVIDER NUMBER
VA
Enumeration date
04/03/2006
Last updated
07/08/2007
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