Individual
GABRIELLE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
162 ACADIA DRIVE, RACELAND, LA 70394
(985) 537-2335
Mailing address
162 ACADIA DRIVE, RACELAND, LA 70394
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09946
LA
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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