Jacob Fredrickson, DPT

NPI #1033670104 in Antioch, California

Provider Information

NPI Number: 1033670104
Entity Type: Individual
Name: Jacob Fredrickson, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Mar 29, 2019
Last Updated: Jan 3, 2022

Practice Location

Address: 4501 SAND CREEK RD
City: Antioch
State: California
ZIP Code: 94531-8687
Phone: (925) 813-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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