Individual
MS. HEATHER L. FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1525 CHAPIN RD, CHAPIN, SC 29036-0337
(803) 345-3811
(803) 345-3018
Mailing address
PO BOX 337, CHAPIN, SC 29036-0337
(803) 345-3811
(803) 345-3018
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4075
SC
Other
Enumeration date
02/05/2007
Last updated
04/30/2008
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