Dalton Frederick, OTD, OTR/L
NPI #1811776701 in Vancleave, Mississippi
Provider Information
- NPI Number
- 1811776701
- Entity Type
- Individual
- Name
- Dalton Frederick, OTD, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- OTD, OTR/L
- Enumeration Date
- Sep 28, 2023
- Last Updated
- Aug 22, 2024
Practice Location
- Address
- 6300 E LAKE BLVD STE 101
- City
- Vancleave
- State
- Mississippi
- ZIP Code
- 39565-6771
- Phone
- (228) 215-2240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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