CHAD FREDERICKSON
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation, Sports Medicine
Provider Information
- NPI Number
1104262617- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- INFIRMARY RD, BATON ROUGE, LA, 708032401
- Phone
- (225) 578-5633
- Fax
- (225) 578-5655
Specialties & Taxonomies
Specialist/Technologist, Athletic Trainer
License: LA #ATH.200132
Physical Medicine & Rehabilitation, Sports Medicine
Primary License: LA #ATH.200132