Provider Demographics
NPI:1902649536
Name:FRENKEL, LEANNE (OTR/L)
Entity type:Individual
Prefix:
First Name:LEANNE
Middle Name:
Last Name:FRENKEL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1663 FIELDTHORN DR
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20194-1599
Mailing Address - Country:US
Mailing Address - Phone:240-328-0498
Mailing Address - Fax:
Practice Address - Street 1:4833 RUGBY AVE STE 500
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3910
Practice Address - Country:US
Practice Address - Phone:301-523-0902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119010355225X00000X
MD10265225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist