Individual
JULIE FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10340 PLEASANT ST STE 100, NOBLESVILLE, IN 46060-3947
(812) 219-5426
Mailing address
12213 CARRIAGE STONE DR, FISHERS, IN 46037-8515
(812) 219-5426
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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