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Individual

TERRI H FREDERICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
4212 W CONGRESS ST, STE. 3200, LAFAYETTE, LA 70506-6765
(337) 988-5646
(337) 988-4298
Mailing address
4212 W CONGRESS ST, STE. 3200, LAFAYETTE, LA 70506-6765
(337) 988-5646
(337) 988-4298

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA0933-01
LA

Other

Enumeration date
10/14/2008
Last updated
10/14/2008
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