Basic Information
Provider Information
NPI: 1881102390
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FREIMAN
FirstName: HELENE
MiddleName: SHERI
NamePrefix: MS.
NameSuffix:  
Credential: M.S.,OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1434 ROLKIN CT STE 201
Address2:  
City: CHARLOTTESVILLE
State: VA
PostalCode: 229113583
CountryCode: US
TelephoneNumber: 4349759400
FaxNumber: 4349759401
Practice Location
Address1: 1434 ROLKIN CT STE 201
Address2:  
City: CHARLOTTESVILLE
State: VA
PostalCode: 229113583
CountryCode: US
TelephoneNumber: 4349759400
FaxNumber: 4349759401
Other Information
ProviderEnumerationDate: 01/18/2018
LastUpdateDate: 01/18/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225XP0200X0119000258VAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics

No ID Information.


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