Individual
KYLIE FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
304 MAIN ST STE A, FARMINGTON, CT 06032-2985
(860) 674-1824
Mailing address
304 MAIN ST STE A, FARMINGTON, CT 06032-2985
(860) 674-1824
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6505
CT
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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