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Madeline McCauley Fredericks, OT

Occupational Therapist in Asheville, NC. Individual provider (NPI-1).

NPI number1982196853
StatusActive
Last updated in NPPESFeb 8, 2022

Details

NPI
1982196853
Entity type
Individual (NPI-1)
Name
Madeline McCauley Fredericks
Credential
OT
Sex
Female
Sole proprietor
No
Enumeration date
Jun 5, 2018
Certification date
Feb 8, 2022
Last updated
Feb 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist11702NCYes

Practice location

190 Broadway St Ste 101
Asheville, NC 28801-2501

Phone 828-412-0908

Mailing address

25 Bradley St
Asheville, NC 28806-4406

Phone 828-412-0908

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