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Individual

BRIDGET FREDRICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1224 E WESTVIEW CT, SPOKANE, WA 99218-3813
(509) 467-5626
Mailing address
17675 N SUNNYVALE DR, NINE MILE FALLS, WA 99026-8304
(509) 467-5626

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 00001228
WA

Other

Enumeration date
01/22/2016
Last updated
01/22/2016
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