Individual
JAN-MICHAEL JAME FRIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10146 MAYSVILLE RD, FORT WAYNE, IN 46835-9589
(260) 702-3477
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 491-1390
(812) 492-6390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014507A
IN
225100000X
Physical Therapist
—
—
Other
Enumeration date
11/19/2021
Last updated
12/16/2024
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