Individual
AMBER D FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
2625 N 19TH ST, BISMARCK, ND 58503
(701) 222-3175
(701) 222-3186
Mailing address
2625 N 19TH ST, BISMARCK, ND 58503-0574
(701) 222-3175
(701) 222-3186
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT60460450
WA
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/07/2014
Last updated
08/08/2018
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