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Corey S Fraer, PTA

Physical Therapy Assistant in Pikesville, MD. Individual provider (NPI-1).

NPI number1437745650
StatusActive
Last updated in NPPESDec 13, 2020

Details

NPI
1437745650
Entity type
Individual (NPI-1)
Name
Corey S Fraer
Credential
PTA
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 13, 2020
Certification date
Dec 13, 2020
Last updated
Dec 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantA5186MDYes

Practice location

9050 Iron Horse Ln Apt 127
Pikesville, MD 21208-2159

Phone 443-617-1922

Mailing address

9050 Iron Horse Ln Apt 127
Pikesville, MD 21208-2159

Phone 443-617-1922

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