| NPI | 1992167464 |
|---|---|
| Former Name | CONSTANCE FRIERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL24944) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 4081) |
| 225100000X Physical Therapist (Licence: NJ 40QA01654300) | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2025-12-01 |