Individual
SAMANTHA R FREESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 RIDGE RD, DENISON, IA 51442-1165
(712) 263-5611
Mailing address
15917 HIGHWAY 71, CARROLL, IA 51401-9146
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
080749
IA
Other
Enumeration date
10/28/2018
Last updated
10/28/2018
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