Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225200000X | Physical Therapy Assistant | 2306601534 | VA |
N | 225200000X | Physical Therapy Assistant | A2876 | MD |
Y | 225200000X | Physical Therapy Assistant | AT 8563 | CA |
NPI | 1013040955 |
---|---|
Provider Name | Miss Andrea Marr Fridinger |
First Address | Hagerstown, MD 21740-7609 |
Second Address | Hagerstown, MD 21740-7609 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 24/06/2010 |