Provider Demographics
NPI:1285873794
Name:FRISBIE, JOANNA (MSPT)
Entity type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:
Last Name:FRISBIE
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2224 FAIRGLENN WAY
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-6351
Mailing Address - Country:US
Mailing Address - Phone:516-512-1649
Mailing Address - Fax:
Practice Address - Street 1:455 W WARREN AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-4038
Practice Address - Country:US
Practice Address - Phone:516-152-1649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-08
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT25820225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist