Individual
MR. BERNADETTE ANN FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2030 ADER RD, JEANNETTE, PA 15644-4500
(724) 327-8451
Mailing address
146 LENTZ RD, LATROBE, PA 15650-3978
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC007075L
PA
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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