Provider Demographics
NPI:1841213469
Name:FRIEDMAN, MERYL L (OT)
Entity Type:Individual
Prefix:MS
First Name:MERYL
Middle Name:L
Last Name:FRIEDMAN
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 1:6787 FIJI CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-7024
Mailing Address - Country:US
Mailing Address - Phone:561-212-7664
Mailing Address - Fax:561-752-2723
Practice Address - Street 1:6787 FIJI CIR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-7024
Practice Address - Country:US
Practice Address - Phone:561-212-7764
Practice Address - Fax:561-752-5313
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 1230225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist