Provider Demographics
NPI:1417769480
Name:FRIEMEL, ANDREIA MARIE (PTA)
Entity type:Individual
Prefix:
First Name:ANDREIA
Middle Name:MARIE
Last Name:FRIEMEL
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:ANDI
Other - Middle Name:MARIE
Other - Last Name:FUDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:10800 TUMILTY AVE
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-2232
Mailing Address - Country:US
Mailing Address - Phone:918-397-4409
Mailing Address - Fax:
Practice Address - Street 1:101 N POST RD # A
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-3605
Practice Address - Country:US
Practice Address - Phone:405-397-3550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant