Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL FREDERICK
Active Sole ProprietorPAUL FREDERICK is a Physical Therapy Clinic healthcare provider located in SOUTH HAVEN, Michigan. NPI 1790881290 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Clinic · SOUTH HAVEN, MI
Registration Details
- NPI Number
- 1790881290
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2006 (19.93066039343 yrs)
- Last Updated
- Mar 20, 2008
- License
-
M15501011004 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
02957 73RD STSOUTH HAVEN, MI, 490909364Browse MI providers · Browse ZIP 49090
- Phone
- 2696379099
- Fax
- 2696379224
- Primary Specialty
-
Physical Therapy Clinic
261QP2000X
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.