location
search-icon
person
Thea Renee Fredericksen, MA,OTR/L
Specialist in San Clemente, California
NPI 1598178204

Thea Renee Fredericksen is a Specialist based in San Clemente, CA. Thea Renee Fredericksen practices in San Clemente, CA and has the professional credentials of MA,OTR/L. The NPI Number for Thea Renee Fredericksen is 1598178204 and holds a License No. 14082 (California).

The current practice location address for Thea Renee Fredericksen is 970 Calle Amanecer, San Clemente, CA and can be reached out via phone at 949-498-5100.

Location: 970 Calle Amanecer, San Clemente, CA, 92673-6250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598178204
Provider Name
Thea Renee Fredericksen
Credential
MA,OTR/L
Provider Entity Type
Individual
Gender
Female
Address
970 Calle Amanecer, San Clemente, CA, 92673-6250
Phone Number
949-498-5100
Fax Number
Provider Enumeration Date
06/10/2014
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
14082 01 CA CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
309557 01 MN NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
institution
Provider Business Practice Location Address Details
Address
970 Calle Amanecer
City
San Clemente
State
California
Zip
92673-6250
Phone Number
949-498-5100
Fax Number
person
Provider Business Mailing Address Details
Address
970 Calle Amanecer
City
San Clemente
State
California
Zip
92673-6250
Phone Number
949-498-5100
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
14082 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.