Individual
JENNIFER FRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1514 ALVIN ST, LAKE CHARLES, LA 70601
(214) 316-3901
Mailing address
1514 ALVIN ST, LAKE CHARLES, LA 70601-5804
(214) 316-3901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08519R
TX
Other
Enumeration date
09/20/2013
Last updated
07/07/2018
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