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Individual

PATRICK BROCK FRIAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
587 SE ERMINE AVE, LAKE CITY, FL 32025-6126
(386) 438-2776
Mailing address
587 SE ERMINE AVE, LAKE CITY, FL 32025-6126

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25610
FL

Other

Enumeration date
05/26/2017
Last updated
05/26/2017
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