Individual
MRS. SANDRA FRICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1087 SUMMERS DRIVE, PREMIER THERAPY ASSOCIATES, REXBURG, ID 83440
(208) 356-4633
(208) 356-4303
Mailing address
13049 N 15TH E, IDAHO FALLS, ID 83401
(208) 569-4220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1987
ID
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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