Provider Demographics
NPI:1528151008
Name:FRIZZELL, WILHELMINA (LPT)
Entity type:Individual
Prefix:
First Name:WILHELMINA
Middle Name:
Last Name:FRIZZELL
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:WILHELMINA
Other - Middle Name:
Other - Last Name:QUELLHORST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPT
Mailing Address - Street 1:2689 POINSETTIA DR.
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082
Mailing Address - Country:US
Mailing Address - Phone:972-690-1373
Mailing Address - Fax:
Practice Address - Street 1:7130 CAMPBELL RD
Practice Address - Street 2:SUITE 207
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1571
Practice Address - Country:US
Practice Address - Phone:972-480-9455
Practice Address - Fax:972-480-9867
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1014017225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist