Individual
JENNY D FREDERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9601 I-630 EXIT 7, LITTLE ROCK, AR 72205-7202
(501) 202-7683
(501) 202-7007
Mailing address
9601 I-630 EXIT 7, LITTLE ROCK, AR 72205-7202
(501) 202-7683
(501) 202-7007
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1445
AR
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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