Individual
MS. JENNIFER FREY
Active
Individual
MS. JENNIFER FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
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
Update your record
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