Individual
STEPHANIE FREDEKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 SUMMIT AVE, SUITE 740, FORT WORTH, TX 76102-4403
(817) 292-8787
(817) 789-6849
Mailing address
1200 SUMMIT AVE, SUITE 740, FORT WORTH, TX 76102-4403
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2-0806-6
TX
Other
Enumeration date
03/03/2014
Last updated
03/04/2014
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