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1154780229
BRANDON FREDERKING
SPRINGDALE, AR
NPI
1154780229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AR OTR2880)
Enumeration Date
2016-02-18
Last Update Date
2016-02-18
Business Address
-- BRANDON FREDERKING OTR/L
2070 MCKENZIE RD SUITE C
SPRINGDALE, AR 72762-0747
Phone number: 479-750-7778
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Mailing Address
-- BRANDON FREDERKING OTR/L
2915 N 14TH CT
ROGERS, AR 72756-2310
Phone number: 913-951-1505
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