Individual
MRS. KATHLEEN MARY FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
506 MARSH RD, WILMINGTON, DE 19809-2121
(302) 762-0645
Mailing address
506 MARSH RD, WILMINGTON, DE 19809-2121
(302) 762-0645
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0000267
DE
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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