Individual
MR. FREDERIC FOUEFACK TADJOUTEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
726 CLOPPER RD, APT 24, GAITHERSBURG, MD 20878-1326
(301) 795-5083
Mailing address
726 CLOPPER RD, APT 24, GAITHERSBURG, MD 20878-1326
(301) 795-5083
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3859
MD
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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