Individual
ERIC FREDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, PES
Contact information
Practice address
1115 E GETWELL LOOP, MEMPHIS, TN 38152-4210
(901) 678-3536
Mailing address
3172 PECAN LAKE DR, APARTMENT 205, MEMPHIS, TN 38115-0480
(616) 826-8409
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 0000001801
TN
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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