Provider Demographics
NPI:1417719527
Name:FREYTAG, TROYANN
Entity Type:Individual
Prefix:
First Name:TROYANN
Middle Name:
Last Name:FREYTAG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13854 LOCHARD RD
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:OH
Mailing Address - Zip Code:45302-9786
Mailing Address - Country:US
Mailing Address - Phone:937-538-6338
Mailing Address - Fax:
Practice Address - Street 1:13854 LOCHARD RD
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:OH
Practice Address - Zip Code:45302-9786
Practice Address - Country:US
Practice Address - Phone:937-538-6338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health