Individual
EMILY MARIE FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
817 CRAWFORD AVE, AUGUSTA, GA 30904-3772
(706) 736-1255
(706) 736-1258
Mailing address
327 HITCHING POST LN, POOLER, GA 31322-4913
(423) 838-5167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017507
GA
Other
Enumeration date
12/28/2024
Last updated
12/28/2024
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