Individual
MS. JENNIFER FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
305 BENJAMIN H HILL DR W, FITZGERALD, GA 31750-8720
(229) 423-8403
(229) 423-8340
Mailing address
P.O. BOX 557, FITZGERALD, GA 31750-0557
(229) 423-8403
(229) 423-8340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008640
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52704132
BLUE CROSS BLUE SHIELD
GA
05
—
530225751B
—
GA
Enumeration date
01/22/2007
Last updated
10/14/2010
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