Provider Demographics
NPI:1316670979
Name:FRALINGER, COLLEEN KAREN (OTD, OTR/L)
Entity type:Individual
Prefix:DR
First Name:COLLEEN
Middle Name:KAREN
Last Name:FRALINGER
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9295 ASHLAND AVE
Mailing Address - Street 2:APT. 1205
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32534
Mailing Address - Country:US
Mailing Address - Phone:609-501-2866
Mailing Address - Fax:
Practice Address - Street 1:4012 N 9TH AVE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2824
Practice Address - Country:US
Practice Address - Phone:850-698-0438
Practice Address - Fax:850-807-6695
Is Sole Proprietor?:No
Enumeration Date:2022-07-01
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119010321225X00000X
FLOT23276225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist