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1700416997
AMY ELIZABETH FREDERICK
KANSAS CITY, MO
NPI
1700416997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2006024536)
Enumeration Date
2020-01-16
Last Update Date
2020-01-16
Business Address
AMY ELIZABETH FREDERICK
8559 N LINE CREEK PKWY
KANSAS CITY, MO 64154-2100
Phone number: 816-545-9790
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Mailing Address
AMY ELIZABETH FREDERICK
4321 NW CORTLAND ST
BLUE SPRINGS, MO 64015-6984
Phone number: 816-804-8482
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