Doctor Name: | ELIZABETH ANN FRISKE |
NPI Number: | 1003940727 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR,CHT |
License Number: | 1544-026 |
Business Practice Address: | 112 E 5th Ave Antigo, WI - 544092710 |
Business Phone Number: | 7156239449 |
Business Fax Number: | 7156239425 |
Mailing Address: | N2998 County Road K, MERRILL |
State: | WI |
Postal Code: | 544529413 |
Phone Number: | 7155361963 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 1544-026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |