Individual
SHARYN FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 TUSCANY RD, APT N, BALTIMORE, MD 21210-3027
(571) 213-1077
Mailing address
100 TUSCANY RD, APT N, BALTIMORE, MD 21210-3027
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4316
MD
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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