JACOB FREDRICKSON

ANTIOCH, CA
NPI1033670104
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT295900)
Enumeration Date2019-03-29
Last Update Date2022-01-03
Business Address
-- JACOB FREDRICKSON DPT
4501 SAND CREEK RD
ANTIOCH, CA 94531-8687
Phone number: 925-813-6500
Mailing Address
-- JACOB FREDRICKSON DPT
4691 BRIONES VALLEY RD
BRENTWOOD, CA 94513-4917
Phone number: 925-470-6444
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