MEDICARE: JENNELYN FRIANEZA PT

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
1	225100000X	Physical Therapist	1407698	TX
2	225200000X	Physical Therapy Assistant	2116659	TX

General Provider Information

NPI Number	:	1477918431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNELYN FRIANEZA PT

Provider Business Mailing Address
First Line	:	2050 CONQUEST BLVD APT 11307
Second Line	:
City	:	WAXAHACHIE
State	:	TX
Zip	:	75167-4880
Country	:	US
Telephone Number	:	561-212-7122
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 DYLAN WAY
Second Line	:
City	:	MIDLOTHIAN
State	:	TX
Zip	:	76065-3890
Country	:	US
Telephone Number	:	512-461-1007
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2015
Last Update Date	:	06/14/2026

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Directions to “ JENNELYN FRIANEZA PT” Practice Location

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