Friede, Traci

Friede, Traci is an individual health care provider with primary practice located at 14635 Pennock Ave Suite #300, Apple Valley MN 55124-6430. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Friede, Traci can be contacted via phone (952) 997-2823.

Contact Information

Primary practice address
14635 Pennock Ave Suite #300 Apple Valley MN 55124-6430
Phone: (952) 997-2823
Fax: (952) 997-6931
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 103493 Minnesota

Profile Details

NPI number 1689869604
LBN Legal business name Friede, Traci
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Sep 12th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689869604 NPPES
Minnesota Other 8D301FR BCBS

Popular Providers