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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THEA RENEE FREDERICKSEN, M.A., OTR/L

Active

THEA RENEE FREDERICKSEN, M.A., OTR/L is a Specialist healthcare provider located in SAN CLEMENTE, California. NPI 1598178204 is currently active in the NPPES registry. Verify at CMS.

Specialist · SAN CLEMENTE, CA

Registration Details

NPI Number
1598178204
Provider Type
Individual
Gender
Female
NPI Issued
Jun 10, 2014 (12.172291623844 yrs)
Last Updated
Nov 30, 2016
License
14082 (CA)

Practice Information

Address
970 CALLE AMANECER
STE A
SAN CLEMENTE, CA, 926736250
Browse CA providers · Browse ZIP 92673
Phone
9494985100
Primary Specialty
Specialist
174400000X

Other Specialist Providers in SAN CLEMENTE, CA

Name Credential NPI
DR. GUS G GIALAMAS MD 1992735914
DR. WILLIAM L VAN DER REIS 1710911078
DAVID ZANDER M.D. 1922023399
DR. DEBORAH LAURA BROWNSTONE M.D. 1821187857
AMANDA COLLEEN FINK OTR/L 1275814378
DR. STEPHANIE MARIE REESE PHD 1730453002
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.