Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul Frederick

Individual provider Physical Therapy Clinic/Center · NPI 1790881290

Paul Frederick is a Physical Therapy Clinic/Center in South Haven, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
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Practice location Address checks out

02957 73rd St
South Haven, MI 49090-9364
Phone: (269) 637-9099
Fax: (269) 637-9224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence M15501011004 (MI)

Record details

NPI number1790881290
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 15, 2006
Last updated in NPPESMarch 20, 2008

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