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Individual

MRS. KRISTA R FREDERIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
3901 NATIONAL DR STE 100, BURTONSVILLE, MD 20866-1176
(301) 421-1125
Mailing address
PO BOX 356, BURTONSVILLE, MD 20866-0356
(301) 421-1125
(301) 421-1077

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22235
MD

Other

Enumeration date
03/15/2006
Last updated
10/15/2024
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