Individual
MRS. MICHELLE RAE FREDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
406 W NEELY ST, ATKINSON, NE 68713-4801
(402) 925-2811
(402) 925-2810
Mailing address
406 W NEELY ST, ATKINSON, NE 68713-4801
(402) 925-2811
(402) 925-2810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1938
NE
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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