STACY A FREDRICKSON

CHESTERTON, IN
NPI1285077941
Former NameSTACY A ORRIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05010467A)
Enumeration Date2013-04-12
Last Update Date2019-12-17
Business Address
STACY A FREDRICKSON PT, DPT
748 E PORTER AVE
CHESTERTON, IN 46304-9101
Phone number: 219-255-1566
Mailing Address
STACY A FREDRICKSON PT, DPT
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number: 630-576-6200
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