MEDICARE: JILLIAN FRENICK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1356173991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILLIAN FRENICK

Provider Business Mailing Address
First Line	:	981 US HIGHWAY 22
Second Line	:
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-2946
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	645 STATE ROUTE 18
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-3760
Country	:	US
Telephone Number	:	732-390-2017
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2024
Last Update Date	:	08/14/2024

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Directions to “ JILLIAN FRENICK ” Practice Location

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