| NPI | 1316192719 |
|---|---|
| Former Name | CHRISTINE JOYCE FREDERICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 015333-01) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2008-11-26 |