Doctor Name: | DAPHNE FREDRICKS |
NPI Number: | 1255647467 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | |
Business Practice Address: | 3560 W Market St Suite 400 Fairlawn, OH - 443332664 |
Business Phone Number: | 3306684041 |
Business Fax Number: | 3306665626 |
Mailing Address: | 3560 W Market St, Suite 400 FAIRLAWN |
State: | OH |
Postal Code: | 443332664 |
Phone Number: | 3306684041 |
Fax Number: | 3306665626 |
NPI Enumeration Date: | 08/25/2010 |
NPI Last Update Date: | 05/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |