Individual
KELSEY FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1718 SPRING CREEK RD, MACUNGIE, PA 18062-9784
(610) 366-0500
Mailing address
1718 SPRING CREEK RD, MACUNGIE, PA 18062-9784
(610) 366-0500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
120490
TX
225X00000X
Occupational Therapist
6358
TN
225X00000X
Occupational Therapist
Primary
OC015422
PA
Other
Enumeration date
10/15/2018
Last updated
09/15/2020
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