Individual
ANDREA FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4515 SUNNYSIDE RD SE, SALEM, OR 97302-3954
(503) 370-8284
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/17/2021
Last updated
01/17/2021
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