Individual
KEITH W FREESEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD, ATC
Contact information
Practice address
5174 VIA ANGELINA, YORBA LINDA, CA 92886
(714) 777-9959
Mailing address
5174 VIA ANGELINA, YORBA LINDA, CA 92886
(714) 777-9959
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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