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Individual

GINA-MARIE FREDETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1811 FOREST HILLS RD W, WILSON, NC 27893-3412
(252) 243-7400
(252) 243-3291
Mailing address
1017 VANCE ST E, WILSON, NC 27893-5346
(919) 710-2094

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305209269
VA
225100000X
Physical Therapist
Primary
P18156
NC

Other

Enumeration date
03/18/2015
Last updated
11/22/2019
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