JACOB FRERICKS, PTA
Physical Therapy Assistant
Active
Individual
NPI: 1558623835
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | 160005557 (IL) |
Frequently Asked Questions
NPI 1558623835 is the National Provider Identifier for JACOB FRERICKS, PTA, a Physical Therapy Assistant provider located in Macomb, IL. This NPI was enumerated on June 12, 2012.
JACOB FRERICKS, PTA practices at 130 S LAFAYETTE ST, SUITE A, Macomb, IL 61455.
Quick Facts
- NPI
- 1558623835
- Type
- Individual
- Enumerated
- Jun 12, 2012
- Last Updated
- Jun 12, 2012
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