Individual
ELIZABETH FREIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, STE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
Mailing address
833 18TH ST, #10, DES MOINES, IA 50314-1155
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
284886
OR
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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