Individual
DENISE LYNN FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2101 WOODDALE DR, WOODBURY, MN 55125-4441
(507) 413-2822
Mailing address
2101 WOODDALE DR STE A, WOODBURY, MN 55125-2933
(651) 738-9888
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103887
MN
Other
Enumeration date
09/29/2009
Last updated
07/30/2019
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