Individual
KELLY FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
915 W EXCHANGE PKWY STE 100, ALLEN, TX 75013-7018
(214) 547-1571
Mailing address
6150 ALMA RD APT 2262, MCKINNEY, TX 75070-7322
(407) 577-4964
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119842
TX
225X00000X
Occupational Therapist
OT18191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019888000
—
FL
Enumeration date
01/17/2017
Last updated
03/26/2019
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