Reva K Fredericksen OTR/L

NPI 1144327057 - Occupational Therapist - 225X00000X

NPI Details
NPI 1144327057
Gender Female
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5120 S 98TH CT
APT 12
OMAHA NE, 68127-5600, US
Phone (402) 639-1795
Fax
Business Location
5120 S 98TH CT
APT 12
OMAHA NE, 68127-5600, US
Phone (402) 639-1795
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Nebraska
License Number 400
Remove 1144327057 NPI Number
 

According to our database, Reva K Fredericksen OTR/L NPI is 1144327057, taxonomy code is 225X00000X and license number is 400, license state is located at Nebraska. Reva K Fredericksen OTR/L physically located at 5120 S 98th Ct, Omaha NE, 68127-5600. NPI Number Reva K Fredericksen OTR/L has the Individual type.

Sponsored links

1144327057 NPI number is provided on an as is basis without warranty of any kind. 1144327057 is maintained by the National Plan & Provider Enumeration System. The contents of Reva K Fredericksen OTR/L are for informational purposes only.