DONALD DARYL FREDERICKSEN

CLARKSTON, WA
NPI1093140386
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT665)
Enumeration Date2013-09-05
Last Update Date2013-09-05
Business Address
Mr. DONALD DARYL FREDERICKSEN MPT
1727 RIDGEVIEW DR
CLARKSTON, WA 99403-3073
Phone number: 509-780-2111
Mailing Address
Mr. DONALD DARYL FREDERICKSEN MPT
1727 RIDGEVIEW DR
CLARKSTON, WA 99403-3073
Phone number: 509-780-2111
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