Individual
SCOTT FREDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1310 SIDNEY ST, BATESVILLE, AR 72501-7628
(870) 612-7200
(870) 612-7203
Mailing address
1310 SIDNEY ST, BATESVILLE, AR 72501-7628
(870) 612-7200
(870) 612-7203
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR996
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130412721
—
AR
01
—
5W737
ARKANSAS BCBS
AR
Enumeration date
10/28/2005
Last updated
09/07/2011
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