Individual
BARBARA ANN FREDERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22070 W RIDGE RD, WAUKESHA, WI 53186-5397
(262) 896-9603
Mailing address
22070 W RIDGE RD, WAUKESHA, WI 53186-5397
(262) 896-9603
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1470-026
WI
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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