Holly Fredericks

NPI #1154732113 in Euclid, Ohio

Provider Information

NPI Number: 1154732113
Entity Type: Individual
Name: Holly Fredericks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: May 13, 2014
Last Updated: May 13, 2014

Practice Location

Address: 18901 LAKE SHORE BLVD
City: Euclid
State: Ohio
ZIP Code: 44119-1078
Phone: (216) 692-7778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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