Individual
ILABETH FREI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1731 17TH AVE, BLOOMER, WI 54724-1512
(715) 568-4669
Mailing address
400 WISCONSIN AVE, CAMERON, WI 54822-9574
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5678
WI
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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