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DANETTE FRIEDEL

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1871796656

Individual Registrant:
 DANETTE  FRIEDEL 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
501 EASY ST  GODDARD, KS 67052-9211 US
Tel: 615-896-6400  Fax: --

Contact information for business:
1842 S COVINGTON ST  WICHITA, KS 67209-4260 US
Tel: 316-773-9534  Fax: --

Registration Information:
NPI: 1871796656
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
KS14-01503

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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