Individual
EMMA FREDERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3117 SHORE DR, MARINETTE, WI 54143-4293
(715) 732-5111
Mailing address
3117 SHORE DR, MARINETTE, WI 54143-4293
(715) 732-5111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16832-24
WI
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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