Individual
EILEEN M. FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3320 STATE ROAD 436, SUITE 1010, APOPKA, FL 32703-6003
(407) 542-0899
(407) 956-2194
Mailing address
PO BOX 1921, WINTER PARK, FL 32790-1921
(407) 335-0125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
007438-1
NY
225100000X
Physical Therapist
17082
MA
225100000X
Physical Therapist
Primary
PT23726
FL
Other
Enumeration date
01/08/2010
Last updated
07/08/2021
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