Individual
DEREK FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
200 LIVINGSTON DR, GRANVILLE, OH 43023
(740) 587-6577
Mailing address
100 W COLLEGE ST, GRANVILLE, OH 43023-1100
(740) 587-6577
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003540
OH
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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