TIMOTHY G FREDERICKS

LIVONIA, MI
NPI1134246226
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501004832)
Enumeration Date2007-03-23
Last Update Date2007-07-08
Business Address
-- TIMOTHY G FREDERICKS P.T.
37650 PROFESSIONAL CENTER DR SUITE 105A
LIVONIA, MI 48152
Phone number: 734-953-1745
Mailing Address
-- TIMOTHY G FREDERICKS P.T.
173 HARVEY ST
PLYMOUTH, MI 48170
Phone number: 734-223-4815