ALTON FREDERICKS

TAMPA, FL
NPI1871130211
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  OT10130)
Enumeration Date2019-12-04
Last Update Date2019-12-04
Business Address
Mr. ALTON FREDERICKS
825 W LINEBAUGH AVE
TAMPA, FL 33612-7855
Phone number: 954-649-0555
Mailing Address
Mr. ALTON FREDERICKS
825 W LINEBAUGH AVE
TAMPA, FL 33612-7855
Phone number: 954-649-0555
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