PAUL FREDERICK

SOUTH HAVEN, MI
NPI1790881290
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: MI  M15501011004)
Enumeration Date2006-09-15
Last Update Date2008-03-20
Business Address
-- PAUL FREDERICK
02957 73RD ST
SOUTH HAVEN, MI 49090-9364
Phone number: 269-637-9099
Mailing Address
-- PAUL FREDERICK
02957 73RD ST
SOUTH HAVEN, MI 49090-9364
Phone number: 269-637-9099
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