MR. Mark Frederick, P.T.

NPI #1306234604 in Paola, Kansas

Provider Information

NPI Number: 1306234604
Entity Type: Individual
Name: MR. Mark Frederick, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jan 8, 2015
Last Updated: Jan 8, 2015

Practice Location

Address: 908 N PEARL ST
City: Paola
State: Kansas
ZIP Code: 66071-1140
Phone: (913) 294-4308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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