Healthcare Provider Details

I. General information

NPI: 1285462929
Provider Name (Legal Business Name): SYDNEY FRANK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 02/11/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2018 ROCK SPRING RD
FOREST HILL MD
21050-2631
US

IV. Provider business mailing address

703 BERETTA WAY
BEL AIR MD
21015-4847
US

V. Phone/Fax

Practice location:
  • Phone: 443-377-1260
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number10445
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number10445
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: