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1134246226
TIMOTHY G FREDERICKS
LIVONIA, MI
NPI
1134246226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501004832)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
TIMOTHY G FREDERICKS P.T.
37650 PROFESSIONAL CENTER DR SUITE 105A
LIVONIA, MI 48152
Phone number: 734-953-1745
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Mailing Address
TIMOTHY G FREDERICKS P.T.
173 HARVEY ST
PLYMOUTH, MI 48170
Phone number: 734-223-4815
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