| NPI | 1710950563 |
|---|---|
| Former Name | CARRIE ANN FRIEDRICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010309A) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IN 05010309A) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36001017A) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2022-12-05 |