Individual
JESSICA FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
8481 HOLLY RD, GRAND BLANC, MI 48439-1812
(810) 694-1711
Mailing address
7264 FRANCES RD, FLUSHING, MI 48433-8834
(810) 407-4909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009090
MI
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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