Healthcare Provider Details

I. General information

NPI: 1578101812
Provider Name (Legal Business Name): LAUREN MICHELLE FRIEDKIN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN MICHELLE HELMIG OTR/L

II. Dates (important events)

Enumeration Date: 12/17/2019
Last Update Date: 10/21/2020
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 BEAR CORBITT RD
BEAR DE
19701-1323
US

IV. Provider business mailing address

1176 CREEKSIDE DR
WILMINGTON DE
19804-3941
US

V. Phone/Fax

Practice location:
  • Phone: 302-454-2400
  • Fax:
Mailing address:
  • Phone: 215-500-8232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberU1-0002096
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: