MEDICARE: MRS. JENNIFER JEAN FRIDDLE PTA

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	225200000X	Physical Therapy Assistant	18914	FL

General Provider Information

NPI Number	:	1821205436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER JEAN FRIDDLE PTA

Provider Business Mailing Address
First Line	:	6982 BERKLEY RD
Second Line	:
City	:	POLK CITY
State	:	FL
Zip	:	33868-3714
Country	:	US
Telephone Number	:	863-984-7343
Fax Number	:

Provider Business Practice Location Address
First Line	:	6982 BERKLEY RD
Second Line	:
City	:	POLK CITY
State	:	FL
Zip	:	33868-3714
Country	:	US
Telephone Number	:	863-984-7343
Fax Number	:

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

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1922472075 — SHONNESHIA JACKSON
Practice Location Address:

820 S POLK AVE
JONESBORO, LA
71251-3714

Practice Phone: 318-475-2479
Practice Fax:

1730708884 — DR. IRUOMA GENEVIEVE NWANGWU MD
Practice Location Address:

1950 W POLK STREET
CHICAGO, IL
60612-3714

Practice Phone: 312-864-6000
Practice Fax:

1508887159 — MS. CAROLYN A. CHENOWITH OTR/L
Practice Location Address:

7053 TALL PINE RD
POLK CITY, FL
33868

Practice Phone: 863-712-1452
Practice Fax:

1710089669 — DR. JACQUELINE ANNE FUTCH PHARMD
Practice Location Address:

108 N COMMONWEALTH AVE
POLK CITY, FL
33868

Practice Phone: 863-984-3427
Practice Fax: 863-984-9631

1982708004 — MITHRAN GODFREY CABOT
Practice Location Address:

308 LAKESHORE DR
POLK CITY, FL
33868-9194

Practice Phone: 386-585-0293
Practice Fax:

1417040486 — POLK CITY PHARMACY INC
Practice Location Address:

108 N COMMONWEALTH AVE
POLK CITY, FL
33868-9506

Practice Phone: 863-984-3427
Practice Fax: 863-984-9631

Directions to “ MRS. JENNIFER JEAN FRIDDLE PTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.