Provider Demographics
NPI:1881042588
Name:MCGEE, FREDERICA
Entity Type:Individual
Prefix:
First Name:FREDERICA
Middle Name:
Last Name:MCGEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 E EDGEWOOD BLVD APT 720
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-5922
Mailing Address - Country:US
Mailing Address - Phone:517-391-4535
Mailing Address - Fax:
Practice Address - Street 1:521 E EDGEWOOD BLVD APT 720
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-5922
Practice Address - Country:US
Practice Address - Phone:517-391-4535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner