Organization
FUNDAMENTAL THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA FRIMMEL M.A. CCC-SLP (OWNER)
(248) 606-0551
Entity
Organization
Contact information
Practice address
1950 E WATTLES RD STE 108, TROY, MI 48085-5079
(248) 882-2797
Mailing address
1950 E WATTLES RD STE 108, TROY, MI 48085-5079
(248) 606-0551
(248) 928-5051
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201010755
OT STATE LICENSE
MI
01
—
5501018572
PT STATE LICENSE
MI
01
—
7101001116
SLP STATE LICENSE
MI
01
—
7101002637
SLP STATE LICENSE
MI
01
—
7101004463
SLP STATE LICENSE
MI
Enumeration date
06/01/2021
Last updated
09/08/2021
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