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NPI Code Detail

MEDICARE: ELIZABETH FREY

MEDICARE:   ELIZABETH  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
1225X00000XOccupational Therapist6387NC

General Provider Information

NPI Number : 1598963613
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH FREY
Provider Business Mailing Address
First Line : 400 REGENCY DR
Second Line : APT 301
City : FAYETTEVILLE
State : NC
Zip : 28314-3426
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 325 N COOL SPRING ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28301-5137
Country : US
Telephone Number : 910-323-4925
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2007
Last Update Date : 07/10/2007

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Directions to “ ELIZABETH FREY ” Practice Location

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