| NPI | 1346258662 |
|---|---|
| Former Name | JULIE ANN FREID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 9629-024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305006020) |
| 225100000X Physical Therapist (Licence: MO 102455) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |