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Contact Information

DEIDRE A FREDERICKS, OTR/L
2081 LANGHORNE RD
LYNCHBURG, VA24501-1443
 Phone: 434-846-8437
 Fax: 434-846-4032
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DEIDRE A FREDERICKS · (Female)

NPI Number 1184047342
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 01/23/2014
Last updated 01/23/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0119003703
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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