Individual
REBECCA GAIL FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 SE INTERNATIONAL WAY, ATE 100, MILWAUKIE, OR 97222-4628
(208) 515-9471
Mailing address
4560 SE INTERNATIONAL WAY, ATE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1160
ID
Other
Enumeration date
07/23/2016
Last updated
07/23/2016
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