Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation |
NPI | 1164853198 |
---|---|
Provider Name | Lesley Joann Frengel |
First Address | Ellwood City, PA 16117-5217 |
Second Address | Youngstown, OH 44512-3455 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2013 |
Last Update Date | 04/03/2019 |