Individual
AMY ELIZABETH FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8559 N LINE CREEK PKWY, KANSAS CITY, MO 64154-2100
(816) 545-9790
Mailing address
4321 NW CORTLAND ST, BLUE SPRINGS, MO 64015-6984
(816) 804-8482
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2006024536
MO
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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