Provider Demographics
NPI:1881832624
Name:FRIEDLAND, TERI (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:TERI
Middle Name:
Last Name:FRIEDLAND
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 1:7445 E WING SHADOW RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-4775
Mailing Address - Country:US
Mailing Address - Phone:480-510-7280
Mailing Address - Fax:
Practice Address - Street 1:7445 E WING SHADOW RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-4775
Practice Address - Country:US
Practice Address - Phone:480-510-7280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1778225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist