Individual
CHRISTIE FREDERICKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1727 RIDGEVIEW DR, CLARKSTON, WA 99403-3073
(509) 780-1991
Mailing address
PO BOX 576, CLARKSTON, WA 99403-0576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
15588
MA
225100000X
Physical Therapist
Primary
PT 00008504
WA
225100000X
Physical Therapist
PT-1614
ID
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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