Provider Demographics
NPI:1447480777
Name:FRICK, DEANNA M (PT)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:M
Last Name:FRICK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:1377 MOTOR PKWY STE 307
Mailing Address - Street 2:
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749-5258
Mailing Address - Country:US
Mailing Address - Phone:631-580-5200
Mailing Address - Fax:631-580-5222
Practice Address - Street 1:319 S BRIDGE ST
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:MI
Practice Address - Zip Code:48451
Practice Address - Country:US
Practice Address - Phone:810-735-0010
Practice Address - Fax:810-735-6687
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2019-04-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5501003742225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist