Individual
SHARON FRIDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3297 N LENA PL, BOISE, ID 83713-4767
(253) 331-5215
Mailing address
3297 N LENA PL, BOISE, ID 83713-4767
(253) 331-5215
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
00002623
WA
225XP0200X
Pediatric Occupational Therapist
9169
NC
Other
Enumeration date
10/13/2015
Last updated
10/22/2021
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