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General NPI Number Information
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NPI Number | 1720481591
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Entity Type | Organization
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Legal Business Name | FRIEDRICHS PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 10/07/2014
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Last Update Date | 02/24/2023
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Provider Practice Location Address
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Address Line | 2315 HIGHWAY K
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City | O FALLON
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State | MO
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Zip | 63368
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Country | US
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Telephone | 636-265-1505
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Fax | 636-266-2112
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Provider Business Mailing Address
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Address Line | 2315 HIGHWAY K
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City | O FALLON
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State | MO
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Zip | 63368-8659
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Country | US
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Telephone | 636-265-1505
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Fax | 636-266-2112
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID ANTHONY FRIEDRICHS
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Credential | DPT, CMPT
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Telephone | 636-385-5277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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