Individual provider · Type 1 NPI

Nicole L. Fredericks, OT

Occupational Therapist · Roseville, CA

NPI number 1215034384 Active

Practice location

3 Medical Plaza Dr, #100
Roseville, CA 95661-3087

Fax (916) 781-1118

Mailing address

10470 Old Placerville Rd, Suite 100
Sacramento, CA 95827-2539

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT5986 (CA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1215034384

Nicole L. Fredericks, OT's National Provider Identifier is 1215034384, issued on Sep 20, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Roseville, CA. The record was last updated on Jul 24, 2015.