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Contact Information

AMBER D FREDRICKSON, DPT, ATC
2625 N 19TH ST
BISMARCK, ND58503
 Phone: 701-222-3175
 Fax: 701-222-3186
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for AMBER D FREDRICKSON · (Female)

NPI Number 1205252749
Status Active
Credentials DPT, ATC
Entity Individual
Enumeration date 03/07/2014
Last updated 08/08/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PT60460450
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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