Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 4118 | MN |
NPI | 1073650917 |
---|---|
Provider Name | Lori A Froehling |
First Address | Farmington, MN 55024-7101 |
Second Address | Eagan, MN 55121-1253 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 08/07/2007 |