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1689079261
JOSEPH FREDERICKSEN
IRVING, TX
NPI
1689079261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 25113)
Enumeration Date
2014-10-25
Last Update Date
2014-10-25
Business Address
-- JOSEPH FREDERICKSEN PT
5001 STATESMAN DR
IRVING, TX 75063-2414
Phone number: 877-282-5631
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Mailing Address
-- JOSEPH FREDERICKSEN PT
5001 STATESMAN DR
IRVING, TX 75063-2414
Phone number: 877-282-5631
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