Individual
BRANDON FREDERKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2070 MCKENZIE RD, SUITE C, SPRINGDALE, AR 72762-0747
(479) 750-7778
(479) 750-7708
Mailing address
2915 N 14TH CT, ROGERS, AR 72756-2310
(913) 951-1505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2880
AR
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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