Stacey Anne Frederick
Stacey Anne Frederick is a Developmental Therapist in Fort Smith, Arkansas. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
6601 Phoenix Ave Ste BFort Smith, AR 72903-5092
Phone: (479) 785-9091
Fax: (479) 782-3415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1811421068 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 14, 2017 |
| Last updated in NPPES | April 14, 2017 |
| Mailing address | 1 Childrens Way, Slot 512-39, Little Rock, AR 72202-3500 |
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