Individual
MICHELE FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC., PT
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC500229
DC
225100000X
Physical Therapist
Primary
PT871822
DC
Other
Enumeration date
08/23/2007
Last updated
08/25/2015
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