License holder summary

Stacy Ann Fredrickson is a Physical Therapist licensed to practice in Indiana. The address on file for Stacy Ann Fredrickson is Chesterton IN 46304. This licensed professional license is current. The license was granted 10/28/2010 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Stacy Ann Fredrickson
Physical Therapist
License number
05010467A
Date granted
10/28/2010
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Chesterton IN 46304
indianalicensing.org
ID 8369460
LAST UPDATED 2024-01-29 09:55:29 UTC

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