Provider Demographics
NPI:1548298193
Name:FRIEBEL, LYNN M (OTR/L)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:M
Last Name:FRIEBEL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 RESERVOIR OFFICE PARK STE 104
Mailing Address - Street 2:1449 OLD WATERBURY ROAD
Mailing Address - City:SOUTHBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06488-3926
Mailing Address - Country:US
Mailing Address - Phone:203-262-9909
Mailing Address - Fax:203-262-9911
Practice Address - Street 1:1 RESERVOIR OFFICE PARK STE 104
Practice Address - Street 2:1449 OLD WATERBURY ROAD
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-3926
Practice Address - Country:US
Practice Address - Phone:203-262-9909
Practice Address - Fax:203-262-9911
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0001593225XP0200X
CT001953225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics