Provider Demographics
NPI:1073821625
Name:FREIMANIS, JYLL D (PT)
Entity Type:Individual
Prefix:
First Name:JYLL
Middle Name:D
Last Name:FREIMANIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 DEVONWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-3866
Mailing Address - Country:US
Mailing Address - Phone:610-688-3897
Mailing Address - Fax:
Practice Address - Street 1:23 DEVONWOOD RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-3866
Practice Address - Country:US
Practice Address - Phone:610-688-3897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC006643L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist