Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB FRERICKS, PTA
ActiveJACOB FRERICKS, PTA is a Occupational Therapist healthcare provider located in MACOMB, Illinois. NPI 1558623835 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MACOMB, IL
Registration Details
- NPI Number
- 1558623835
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2012 (14.147220536362 yrs)
- Last Updated
- Jun 12, 2012
- License
-
160005557 (IL)
Practice Information
- Address
-
130 S LAFAYETTE STSUITE AMACOMB, IL, 614552289Browse IL providers · Browse ZIP 61455
- Phone
- 3098362500
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in MACOMB, IL
| Name | Credential | NPI |
|---|---|---|
| MR. DON ARNOLD YOUNG | PTA | 1619170248 |
| ANGELA SUMMY | PTA | 1104188481 |
| JULISSA RABE | — | 1043947674 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.