Individual
DR. ARLETTE LUCY FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-4328
(617) 667-4303
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-4328
(617) 667-4303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7251
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042103881
BIDMC TAX ID #
MA
01
—
1548202641
BIDMC NPI
MA
01
—
220086
MEDICARE PROVIDER #
MA
Enumeration date
11/03/2010
Last updated
11/03/2010
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