Individual
HEATHER ANNE FREDLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
2407 N CONNECTICUT AVE, ROYAL OAK, MI 48073-4214
(586) 822-0032
Mailing address
2407 N CONNECTICUT AVE, ROYAL OAK, MI 48073-4214
(586) 822-0032
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
55705
MI
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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