Individual
MS. MAUREEN M FREDERICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
126 S STATE ST, SUITE 100, NEWTOWN, PA 18940-3524
(215) 579-6991
(215) 579-9774
Mailing address
205 NEW BRITAIN RD, DOYLESTOWN, PA 18901-2701
(215) 348-2801
(215) 677-3266
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT005508L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0116985000
PERSONAL CHOICE NUMBER
PA
Enumeration date
05/01/2006
Last updated
07/08/2007
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