Individual
KAYLA MARKO FRIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 E GREENVILLE ST, ANDERSON, SC 29621-2004
(864) 226-8356
Mailing address
1501 E GREENVILLE ST, ANDERSON, SC 29621-2004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4682
SC
Other
Enumeration date
03/08/2016
Last updated
12/08/2021
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