REVA K FREDERICKSEN

OMAHA, NE
NPI1144327057
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NE  400)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
-- REVA K FREDERICKSEN OTR/L
5120 S 98TH CT APT 12
OMAHA, NE 68127-5600
Phone number: 402-639-1795
Mailing Address
-- REVA K FREDERICKSEN OTR/L
5120 S 98TH CT APT 12
OMAHA, NE 68127-5600
Phone number: 402-639-1795
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