Individual
RANDI LYNN FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10600 LEWIS AND CLARK BLVD, SAINT LOUIS, MO 63136-6005
(314) 340-6389
Mailing address
2348 KENNEDY LN, HIGHLAND, IL 62249-3847
(618) 978-0927
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
.2013000038
MO
225200000X
Physical Therapy Assistant
160.004820
IL
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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