Individual
MRS. CHERIE DAWN FREDERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8205 CROWS NEST LN, GREENSBORO, NC 27455-9294
(336) 298-4416
Mailing address
8205 CROWS NEST LN, GREENSBORO, NC 27455-9294
(336) 298-4416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4092
NC
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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