Provider Demographics
NPI:1760273205
Name:MESSENGER, MICHELE FRICKE (OT/L)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:FRICKE
Last Name:MESSENGER
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 ENGLISH ELM CT
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-5800
Mailing Address - Country:US
Mailing Address - Phone:410-245-1627
Mailing Address - Fax:
Practice Address - Street 1:601 MAIDEN CHOICE LN
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-3630
Practice Address - Country:US
Practice Address - Phone:410-744-9367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03941225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist