Individual
KJERSTEN JULIA FRERICHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1191 E NEWPORT CENTER DR, SUITE PH-J, DEERFIELD BEACH, FL 33442-7715
(954) 379-1066
Mailing address
865 S HIGHLAND RD, OTHELLO, WA 99344-9519
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 12518
FL
225X00000X
Occupational Therapist
Primary
OT00003902
WA
Other
Enumeration date
04/13/2007
Last updated
10/15/2009
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