Individual
MRS. BARBARA JOY FREDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2004 PRAIRIE VIEW LN, BUFFALO, MN 55313-2272
(763) 742-7611
Mailing address
2004 PRAIRIE VIEW LN, BUFFALO, MN 55313-2272
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2205
MN
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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