Individual
DEVANNA LEIGH FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2507 MCCLELLAN HWY, RANGER, WV 25557-7538
(681) 204-9900
Mailing address
2507 MCCLELLAN HWY, RANGER, WV 25557-7538
(681) 204-9900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2229
WV
225X00000X
Occupational Therapist
1053
WV
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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