Provider Demographics
NPI:1740736065
Name:FREY, KATHARINE E (MS, OTRL)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:E
Last Name:FREY
Suffix:
Gender:F
Credentials:MS, OTRL
Other - Prefix:
Other - First Name:KATHARINE
Other - Middle Name:E
Other - Last Name:GROFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, OTRL
Mailing Address - Street 1:1884 LITITZ PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601
Mailing Address - Country:US
Mailing Address - Phone:717-572-2292
Mailing Address - Fax:
Practice Address - Street 1:1135 OLD WEST CHOCOLATE AVE
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036
Practice Address - Country:US
Practice Address - Phone:717-832-2670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC009941225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist