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NPI Code Detail

MEDICARE: PAUL ANTHONY FRIEDLIN OT,CHT

MEDICARE: PAUL ANTHONY FRIEDLIN OT,CHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT4237FL
2225XH1200XHand Occupational TherapistOT4237FL

General Provider Information

NPI Number : 1417137266
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL ANTHONY FRIEDLIN OT,CHT
Provider Business Mailing Address
First Line : PO BOX 117345
Second Line :
City : ATLANTA
State : GA
Zip : 30368-7345
Country : US
Telephone Number : 904-346-3465
Fax Number : 904-858-6489
Provider Business Practice Location Address
First Line : 1577 ROBERTS DR STE 320
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-3266
Country : US
Telephone Number : 904-247-3324
Fax Number : 904-247-3926
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2007
Last Update Date : 08/12/2020

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