Individual
LOGAN JOLEE FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15051 HARMONY HILLS LN, ABINGDON, VA 24211-7661
(276) 451-2590
Mailing address
34207 LEE HWY, GLADE SPRING, VA 24340-4533
(276) 780-6626
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002087
VA
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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