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NPI Code Detail

MEDICARE: MARISSA FREY

MEDICARE: MARISSA FREY
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
1225100000XPhysical TherapistPT023930PA

General Provider Information

NPI Number : 1417565698
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA FREY
Provider Business Mailing Address
First Line : 1859 DINKEY RD
Second Line :
City : LEHIGHTON
State : PA
Zip : 18235-3631
Country : US
Telephone Number : 610-657-5822
Fax Number :
Provider Business Practice Location Address
First Line : 397 HEMLOCK DR
Second Line :
City : LEHIGHTON
State : PA
Zip : 18235-9712
Country : US
Telephone Number : 570-386-5522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2020
Last Update Date : 07/14/2020

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Directions to “ MARISSA FREY ” Practice Location

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