Individual
MRS. ELIZABETH MERCEDES FRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4180 SAGE BLUFF XING, FORT WAYNE, IN 46804-2363
(260) 443-7300
Mailing address
1407 ELY RIDGE PASS, FORT WAYNE, IN 46845-2364
(260) 438-3146
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005287A
IN
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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