STACI FREDRICK

NORFOLK, VA
NPI1992177877
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306602868)
Enumeration Date2015-10-30
Last Update Date2015-10-30
Business Address
-- STACI FREDRICK LPTA
1309 KEMPSVILLE RD
NORFOLK, VA 23502-2205
Phone number: 757-461-5001
Mailing Address
-- STACI FREDRICK LPTA
1309 KEMPSVILLE RD
NORFOLK, VA 23502-2205
Phone number: 757-461-5001