Provider Demographics
NPI:1467530311
Name:BARTHOLD, FRANK EDWIN (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:EDWIN
Last Name:BARTHOLD
Suffix:
Gender:M
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 1:610 DOUGLAS ST
Mailing Address - Street 2:APT. B-318
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-3828
Mailing Address - Country:US
Mailing Address - Phone:937-672-3565
Mailing Address - Fax:
Practice Address - Street 1:508 FULTON ST # 117A
Practice Address - Street 2:2ND FLOOR B-WING (B2010)
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3875
Practice Address - Country:US
Practice Address - Phone:919-286-0411
Practice Address - Fax:919-416-5913
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4938225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist