Individual
REBECCA SKYLAR FREDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
5699 W 20TH ST, GREELEY, CO 80634-3165
(970) 451-1234
Mailing address
4248 DIXON ST, TIMNATH, CO 80525-9010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0008497
CO
225XP0200X
Pediatric Occupational Therapist
OT.0008497
CO
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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