person
Mr. Kevin Jerome Frederick
Rehabilitation Practitioner in Long Beach, California
NPI 1366878068

Kevin Jerome Frederick is a Rehabilitation Practitioner based in Long Beach, CA. Kevin Jerome Frederick practices in Long Beach, CA. The NPI Number for Kevin Jerome Frederick is 1366878068 and holds a License No. (California).

The current practice location address for Kevin Jerome Frederick is 1501 Hughes Way, Long Beach, CA and can be reached out via phone at 310-221-6336.

Location: 1501 Hughes Way, Long Beach, CA, 90810-1876
person
Provider Profile Details
NPI Number
1366878068
Provider Name
Kevin Jerome Frederick
Credential
Provider Entity Type
Individual
Gender
Male
Address
1501 Hughes Way, Long Beach, CA, 90810-1876
Phone Number
310-221-6336
Fax Number
Provider Enumeration Date
09/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
225400000X 01 CA RAHABILITATION PARCTITIONER
institution
Provider Business Practice Location Address Details
Address
1501 Hughes Way
City
State
Zip
90810-1876
Phone Number
310-221-6336
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Hughes Way
City
State
Zip
90810-1876
Phone Number
310-221-6336
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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