Andrea Friddell, OTR/L
Individual provider Active NPI Occupational Therapist · Appomattox, VA
NPI 1992205603 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1992205603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0119-007348 (VA)
- Practice address
- 235 Evergreen Ave
Appomattox, VA 24522-4501 - Phone
- (434) 352-7420
- NPI assigned
- Feb 19, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 0119-007348 | VA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119-007348 | VA | Yes |
Addresses
Primary practice location
235 Evergreen Ave
Appomattox, VA 24522-4501
Mailing address
3829 Royal Blvd
Lynchburg, VA 24503-2455
Phone (804) 814-5494
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019-007348 | Other | VA | OT LICENSE |
Other providers in Appomattox, VA
- John Ford Davids Sr.
- Delta Response Team
- Dreamers Home Care
- Deborah Hoffman Elliott
- Kimberly Elliott
- Erica Gallagher
- Candice N Gilbert
- Alexandra Regina Glover
- Robin Glover
- Melissa Kathleen Gregory
All providers in Appomattox, VA · Occupational Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. 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.