Individual
FREDERIS ANN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
620 PAXTON PL STE 102, LITITZ, PA 17543-8279
(717) 723-8520
Mailing address
8 SCHOOL LN, STEVENS, PA 17578-9404
(717) 330-8928
Taxonomy
Speciality
Code
Description
License number
State
224ZR0403X
Driving and Community Mobility Occupational Therapy Assistant
Primary
OP009350
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP009350
COTA
PA
Enumeration date
06/20/2019
Last updated
06/20/2019
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