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Individual
WILLIAM J. FREDRICKSEN
Active
Individual
WILLIAM J. FREDRICKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 34922
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 34922
PT 34922
CA
Enumeration date
09/12/2008
Last updated
09/12/2008
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