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Individual

JESSICA FREDERICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
600 N COMMONS DR, AURORA, IL 60504-4154
(708) 478-1820
Mailing address
6 S. 270 4TH ST., EOLA, IL 60519
(630) 205-7415

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004301
IL

Other

Enumeration date
03/28/2018
Last updated
03/28/2018
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