Provider Demographics
NPI:1588976948
Name:FRISCH, ADINA (OTR/L,MS)
Entity type:Individual
Prefix:MRS
First Name:ADINA
Middle Name:
Last Name:FRISCH
Suffix:
Gender:F
Credentials:OTR/L,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 JUNIPER CIR N
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1915
Mailing Address - Country:US
Mailing Address - Phone:347-534-7623
Mailing Address - Fax:
Practice Address - Street 1:211 JUNIPER CIR N
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-1915
Practice Address - Country:US
Practice Address - Phone:347-534-7623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015022-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics