Provider Demographics
NPI:1013091073
Name:PASCARELLI, FRANK RICHARD (OTR/L, BCMH, NMSE)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:RICHARD
Last Name:PASCARELLI
Suffix:
Gender:M
Credentials:OTR/L, BCMH, NMSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2974 SUTTON GLEN
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062
Mailing Address - Country:US
Mailing Address - Phone:770-578-8731
Mailing Address - Fax:
Practice Address - Street 1:96TH MDG
Practice Address - Street 2:307 BOATNER ROAD
Practice Address - City:EGLIN AFB
Practice Address - State:FL
Practice Address - Zip Code:32542-1282
Practice Address - Country:US
Practice Address - Phone:404-368-4561
Practice Address - Fax:404-639-2896
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT1234225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist