Individual
RYAN FREZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 PALM COAST PKWY SW, PALM COAST, FL 32137-4742
(386) 446-4101
(386) 447-2161
Mailing address
5 RIVERVIEW PLACE, PALM COAST, FL 32165
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 26279
FL
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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