Edward G Frodge, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Hanson, KY
NPI 1669766895 · NPPES record last updated Jun 6, 2011
Key facts
- NPI
- 1669766895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- A4807 (KY)
- Practice address
- 7915 Hanson Rd
Hanson, KY 42413-9418 - Phone
- (270) 322-8465
- NPI assigned
- Jun 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A4807 | KY | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | A4807 | KY | Yes |
Addresses
Primary practice location
7915 Hanson Rd
Hanson, KY 42413-9418
Mailing address
7915 Hanson Rd
Hanson, KY 42413-9418
Phone (270) 322-8465
Other providers in Hanson, KY
- Robert Cain
- Commonwealth of Kentucky
- Janet Lee Adams Densmore
- Evans Counseling, LLC
- Robert Evans III
- Hanson Pharmacy and Wellness Center
- Hopkins County Health Department
- Bryce Kapper
- Richard Wayne Lake
- Karen Joan Lynn
All providers in Hanson, KY · Occupational Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.