| Connor Daniel Fried, DPT | |
|
3155 Channing Way Ste D, Idaho Falls, ID 83404-7875 | |
| (208) 973-4170 | |
| Not Available |
| Full Name | Connor Daniel Fried |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 3155 Channing Way Ste D, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982465944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT-9035 (Idaho) | Primary |
| Provider Name | Pick Pt Ammon Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1831972561 PECOS PAC ID: 3577911254 Enrollment ID: O20231120001711 |
| Mailing Address | Practice Location Address |
|---|---|
| Connor Daniel Fried, DPT 3040 S South Fork Blvd Apt 5210, Idaho Falls, ID 83402-1341 Ph: () - | Connor Daniel Fried, DPT 3155 Channing Way Ste D, Idaho Falls, ID 83404-7875 Ph: (208) 973-4170 |
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Dr. Jeremy L Jones, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2640 Channing Way, Idaho Falls, ID 83404 Phone: 208-552-2248 Fax: 208-552-2463 | |
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