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1215034384
NICOLE L FREDERICKS
ROSEVILLE, CA
NPI
1215034384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT5986)
Enumeration Date
2006-09-20
Last Update Date
2015-07-24
Business Address
-- NICOLE L FREDERICKS OT
3 MEDICAL PLAZA DR #100
ROSEVILLE, CA 95661-3087
Phone number: 916-781-1157
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Mailing Address
-- NICOLE L FREDERICKS OT
10470 OLD PLACERVILLE RD SUITE 100
SACRAMENTO, CA 95827-2539
Phone number: 800-470-0071
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