Individual
MISS NICOLE FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
17410 COMMERCE PARK BLVD, TAMPA, FL 33647-3500
(813) 558-1185
Mailing address
8749 ORANGE LEAF CT, TEMPLE TERRACE, FL 33637-5036
(970) 846-7807
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4960
FL
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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