Individual
TERESA MARIE FRAUNDORFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
912 E ATLANTIC AVE, ALTOONA, PA 16602-6902
(814) 943-0981
Mailing address
912 E ATLANTIC AVE, ALTOONA, PA 16602-6902
(814) 943-0981
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG 001344
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101176638 0001
—
PA
Enumeration date
01/02/2007
Last updated
03/22/2016
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