Individual
ALEXIS ELIZABETH FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 249-7094
Mailing address
317 CEDAR PL APT 2, EAST ROCHESTER, NY 14445-1501
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027050
NY
Other
Enumeration date
10/03/2022
Last updated
09/03/2024
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