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NPI Code Detail

MEDICARE: ANDREA KAY FRIESENHAHN MSPT

MEDICARE:   ANDREA KAY FRIESENHAHN  MSPT
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 Therapist1188733TX

General Provider Information

NPI Number : 1457589020
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA KAY FRIESENHAHN MSPT
Provider Business Mailing Address
First Line : 1701 W BEN WHITE BLVD
Second Line : SUITE 100B
City : AUSTIN
State : TX
Zip : 78704-7667
Country : US
Telephone Number : 512-440-1441
Fax Number : 512-440-1448
Provider Business Practice Location Address
First Line : 1701 W BEN WHITE BLVD
Second Line : SUITE 100B
City : AUSTIN
State : TX
Zip : 78704-7667
Country : US
Telephone Number : 512-440-1441
Fax Number : 512-440-1448
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2009
Last Update Date : 06/23/2009

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Directions to “ ANDREA KAY FRIESENHAHN MSPT” Practice Location

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