STEPHANIE L FREDERICKSON

PLEASANT PRAIRIE, WI
NPI1053894378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  15158-24)
Enumeration Date2018-09-12
Last Update Date2024-01-04
Business Address
STEPHANIE L FREDERICKSON PT, DPT
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158-1227
Phone number: 262-857-5000
Mailing Address
STEPHANIE L FREDERICKSON PT, DPT
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 262-857-5000
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