Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath | MT0002898 | DE |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MT-0002898 | DE |
N | 225700000X | Massage Therapist | MT-0002898 | DE |
NPI | 1952610263 |
---|---|
Provider Name | Ms. Amy Louise Fritchman |
First Address | Clayton, DE 19938-3807 |
Second Address | Dover, DE 19904-3571 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2010 |
Last Update Date | 07/09/2011 |