Individual
MRS. DEIDRE ANN FREDERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2081 LANGHORNE RD, LYNCHBURG, VA 24501-1443
(434) 846-8437
(434) 846-4032
Mailing address
2081 LANGHORNE RD, LYNCHBURG, VA 24501-1443
(434) 846-8437
(434) 846-4032
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
0119003703
VA
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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