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Individual

ASHLEY FREDERICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
14515 NORTH OUTER 40 RD, 170, CHESTERFIELD, MO 63017-5791
(314) 434-8680
Mailing address
1391 SMIZER MILL RD, 100, FENTON, MO 63026-7306
(636) 305-3000

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017003409
MO

Other

Enumeration date
02/08/2017
Last updated
01/02/2018
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