Doctor Name: | AMBER D FREDRICKSON |
NPI Number: | 1205252749 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT, ATC |
License Number: | |
Business Practice Address: | 6618 64th St Ne Suite D Marysville, WA - 982704883 |
Business Phone Number: | 3606535800 |
Business Fax Number: | 3606535880 |
Mailing Address: | 6618 64th St Ne, Suite D MARYSVILLE |
State: | WA |
Postal Code: | 982704883 |
Phone Number: | 3606535800 |
Fax Number: | 3606535880 |
NPI Enumeration Date: | 03/07/2014 |
NPI Last Update Date: | 03/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |