Individual
ANDREA FRIDDELL
Active
Individual
ANDREA FRIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119-007348
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019-007348
OT LICENSE
VA
Enumeration date
02/19/2018
Last updated
06/16/2018
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