Individual provider · Type 1 NPI
Amy Marie Frederickson
Occupational Therapist · Fort Wayne, IN
Practice location
12844 Coldwater Rd Ste B
Fort Wayne, IN 46845-8833
Mailing address
9823 Auburn Rd
Fort Wayne, IN 46825-2347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | 31007557A (IN) |
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 1922932276
Amy Marie Frederickson's National Provider Identifier is 1922932276, issued on Jun 11, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jun 11, 2026.