Individual
CONNOR JAMES FRERICHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
245 TERRACINA BLVD STE 105, REDLANDS, CA 92373-4879
(909) 335-4102
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440AF1605
LICENSE
IA
Enumeration date
06/09/2022
Last updated
01/19/2026
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