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NPI Code Detail

MEDICARE: CASSANDRA FRIEDLI DPT

MEDICARE: CASSANDRA FRIEDLI DPT
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 Therapist3134MN

General Provider Information

NPI Number : 1942612973
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA FRIEDLI DPT
Provider Business Mailing Address
First Line : 16251 JATOS CIR
Second Line :
City : LAKEVILLE
State : MN
Zip : 55044-6616
Country : US
Telephone Number : 952-465-4175
Fax Number :
Provider Business Practice Location Address
First Line : 900 W 94TH ST
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55420-4206
Country : US
Telephone Number : 651-738-9888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2014
Last Update Date : 02/07/2022

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Directions to “ CASSANDRA FRIEDLI DPT” Practice Location

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