# MR. FREDERICK JOHN SANTOS SANTOS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1386973600
- **Gender:** Man
- **Credential:** OTR

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 056.008623 | IL | — |
| 225X00000X | Occupational Therapist | 113299 | TX | — |
| 225X00000X | Occupational Therapist | 2009028272 | MO | Yes |
| 225X00000X | Occupational Therapist | 2615 | NM | — |

## Other

- **Enumeration date:** 12/15/2009
- **Last updated:** 12/15/2009