Individual
JACQUELINE MARIE FRITHSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
10220 ARDREY KELL RD, CHARLOTTE, NC 28277-4328
(980) 343-0860
Mailing address
8801 HUNTER GREEN LN, CHARLOTTE, NC 28227-8775
(617) 510-4456
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1414
NC
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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