Individual
MRS. DENISE B. FREDERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1636 OAK ISLAND DR, CHARLESTON, SC 29412-9519
(843) 762-6793
(843) 762-1154
Mailing address
1636 OAK ISLAND DR, CHARLESTON, SC 29412-9519
(843) 762-6793
(843) 762-1154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1623
SC
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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