Denise B. Fredericks, Pt, Llc
LBN: Denise B. Fredericks, Pt, Llc
Denise B. Fredericks, Pt, Llc is an health care organization with primary practice located at 1636 Oak Island Dr , Charleston SC 29412-9519. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Denise B. Fredericks, Pt, Llc can be contacted via phone (843) 762-6793, or through Fredericks, Denise Bundrick via phone (843) 906-5210.
Contact Information
Primary practice address
1636 Oak Island Dr
Charleston SC 29412-9519
Phone: (843) 762-6793
Fax: (843) 762-1154
Website:
Authorized official contact:
Name: Fredericks, Denise Bundrick Physical Therapist (PT)
Phone: (843) 906-5210
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1623 | South Carolina |
Profile Details
| NPI number | 1407825706 |
|---|---|
| LBN Legal business name | Denise B. Fredericks, Pt, Llc |
| DBA Doing business as | |
| Authorized official | Fredericks, Denise Bundrick Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407825706 | NPPES |
| South Carolina | MEDICAID | TH0142 |
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