Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT022858 | PA |
NPI | 1013349794 |
---|---|
Provider Name | Miss Stephanie Fritsch |
First Address | King Of Prussia, PA 19406-1495 |
Second Address | Media, PA 19063-3037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2013 |
Last Update Date | 09/03/2019 |