Individual
MR. DENNIS J FREDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 863-7580
(850) 863-7549
Mailing address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 863-7580
(850) 863-7549
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT27827
PT LICENSE
FL
Enumeration date
02/12/2013
Last updated
02/12/2013
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