Individual
KATHRYN ANN FREDIANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1310 E CLOVERLAND DR, IRONWOOD, MI 49938-1606
(906) 932-4200
Mailing address
925 N HEMLOCK ST, IRONWOOD, MI 49938-1020
(906) 281-5063
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1727-019
WI
225200000X
Physical Therapy Assistant
Primary
5502003037
MI
Other
Enumeration date
05/17/2011
Last updated
06/27/2012
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