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Individual

SUSAN KATHRYN FREDERIKSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
742 STERBENZ DR, HUDSON, WI 54016-8327
(715) 386-2128
(715) 386-6119
Mailing address
742 STERBENZ DR, HUDSON, WI 54016-8327
(715) 386-2128
(715) 386-6119

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4908
WI

Other

Enumeration date
09/08/2010
Last updated
09/08/2010
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