Individual
KURT FREISCHLAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 733-3636
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(219) 365-6560
(219) 365-6561
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
998
WY
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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