Individual
TAMMIE JEAN FREDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 SAINT JOHN ST, MONTICELLO, NY 12701-2118
(845) 794-4020
Mailing address
22 SAINT JOHN ST, MONTICELLO, NY 12701-2118
(845) 794-4020
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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