Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 3525 | NE |
NPI | 1003261090 |
---|---|
Provider Name | Mrs. Rikki Frey |
First Address | Lincoln, NE 68502-2251 |
Second Address | Lincoln, NE 68502-2251 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2016 |
Last Update Date | 08/08/2020 |