NPI 1700365152

Desiree Fredericks

Practitioner Orthotist Tacoma, WA

Practice location

Address: 723 Martin Luther King Jr Way, Tacoma, WA 98405-4139
Phone: (253) 383-4447

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 952667855 (WA)

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Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1700365152
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Aug 2018
Record last updated: 7 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.