Individual
PEYTON FREDRICKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
12615 OLD SILO TRL SW, HUNTSVILLE, AL 35803-3342
(256) 479-9531
Mailing address
12615 OLD SILO TRL SW, HUNTSVILLE, AL 35803-3342
(256) 479-9531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH9182
AL
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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