Individual
JACQUELYN FRYXELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1520 GROVE ST, LOUDON, TN 37774-1575
(865) 458-5436
Mailing address
3116 FOSTER LN, KNOXVILLE, TN 37920-5537
(865) 388-8576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1546
TN
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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