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Individual

MISS ASHLEY NICHOLE FRYMIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
10751 VILLMER RD, CADET, MO 63630-9634
(314) 309-8662
Mailing address
10751 VILLMER RD, CADET, MO 63630-9634
(314) 309-8662

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012013692
MO

Other

Enumeration date
06/24/2021
Last updated
06/24/2021
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