CHAD FREDERICKSON

BATON ROUGE, LA
NPI1104262617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation Sports Medicine
(Licence: LA  ATH.200132)
Enumeration Date2013-05-13
Last Update Date2013-05-13
Business Address
CHAD FREDERICKSON
INFIRMARY RD
BATON ROUGE, LA 70803-2401
Phone number: 225-578-5633
Mailing Address
CHAD FREDERICKSON
INFIRMARY RD
BATON ROUGE, LA 70803-2401
Phone number: 225-578-5633
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