MEDICARE: MRS. EUNICE DELORES FREDRICKSON P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2009035682	MO
2	225100000X	Physical Therapist	070017473	IL

General Provider Information

NPI Number	:	1992034896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EUNICE DELORES FREDRICKSON P.T.

Provider Business Mailing Address
First Line	:	6768 NORTH HWY 67
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63034
Country	:	US
Telephone Number	:	314-741-9101
Fax Number	:

Provider Business Practice Location Address
First Line	:	6768 N HIGHWAY 67
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63034-2742
Country	:	US
Telephone Number	:	314-741-9101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/24/2009
Last Update Date	:	12/24/2009

Similar Medicare Providers

1952308298 — ELDERCARE OF THE VALLEY, INC
Practice Location Address:

6768 N HIGHWAY 67
FLORISSANT, MO
63034-2742

Practice Phone: 314-741-9101
Practice Fax: 314-741-4936

1124222013 — MRS. SANDRA L GAMBY-CAREY O.T.A.
Practice Location Address:

6768 N US HIGHWAY 67
FLORISSANT, MO
63034-2742

Practice Phone: 314-741-9101
Practice Fax:

1598960122 — DR. ROXANNE MARIE DELCAU EDD
Practice Location Address:

6768 N US HIGHWAY 67
FLORISSANT, MO
63034-2742

Practice Phone: 314-741-9101
Practice Fax:

1568629137 — MRS. KATHLEEN LOUISE WIEGMAN COTA/L
Practice Location Address:

6768 N US HIGHWAY 67
FLORISSANT, MO
63034-2742

Practice Phone: 314-413-3657
Practice Fax:

1386801991 — MRS. JANET KEYS LPTA
Practice Location Address:

6768 N HIGHWAY 67
FLORISSANT, MO
63034-2742

Practice Phone: 314-741-9101
Practice Fax:

1831346071 — REHAB CARE
Practice Location Address:

6768 N HIGHWAY 67
FLORISSANT, MO
63034-2742

Practice Phone: 314-741-9101
Practice Fax: 314-741-4936

Directions to “ MRS. EUNICE DELORES FREDRICKSON P.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.