Individual
LORI FREDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
864 BARRANCA DR, CASTLE ROCK, CO 80104-7420
(720) 708-4475
Mailing address
7479 S ALKIRE ST, 306, LITTLETON, CO 80127-7541
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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