Provider Demographics
NPI:1639475122
Name:NAGEL-FRIEDRICH, SACHA (OT)
Entity Type:Individual
Prefix:
First Name:SACHA
Middle Name:
Last Name:NAGEL-FRIEDRICH
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61035 RIVERBLUFF TRL
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1989
Mailing Address - Country:US
Mailing Address - Phone:541-382-6864
Mailing Address - Fax:541-382-6864
Practice Address - Street 1:61035 RIVERBLUFF TRL
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1989
Practice Address - Country:US
Practice Address - Phone:541-382-6864
Practice Address - Fax:541-382-6864
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR343004225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist