Individual
DOROTHY FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
342 BIRNIE AVE, SPRINGFIELD, MA 01107-1104
(413) 439-2170
(413) 785-1728
Mailing address
342 BIRNIE AVE, SPRINGFIELD, MA 01107-1104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MA
225X00000X
Occupational Therapist
9950
MA
Other
Enumeration date
10/20/2009
Last updated
09/09/2011
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