Provider Demographics
NPI:1417439878
Name:FREISEN, EMILY F (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:F
Last Name:FREISEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 MILL STREET SUITE 302
Mailing Address - Street 2:
Mailing Address - City:ARLINTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476
Mailing Address - Country:US
Mailing Address - Phone:781-643-7000
Mailing Address - Fax:617-393-0283
Practice Address - Street 1:22 MILL STREET SUITE 302
Practice Address - Street 2:
Practice Address - City:ARLINTON
Practice Address - State:MA
Practice Address - Zip Code:02476
Practice Address - Country:US
Practice Address - Phone:781-643-7000
Practice Address - Fax:617-393-0283
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-02
Last Update Date:2018-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11836225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand