MR. Donald Daryl Fredericksen, MPT
NPI #1093140386 in Clarkston, Washington
Provider Information
- NPI Number
- 1093140386
- Entity Type
- Individual
- Name
- MR. Donald Daryl Fredericksen, MPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- MPT
- Enumeration Date
- Sep 5, 2013
- Last Updated
- Sep 5, 2013
Practice Location
- Address
- 1727 RIDGEVIEW DR
- City
- Clarkston
- State
- Washington
- ZIP Code
- 99403-3073
- Phone
- (509) 780-2111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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