Individual
MRS. COURTNEY FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2150 MONTEGO DRIVE, SPRINGFIELD, OH 45503
(937) 390-9913
Mailing address
320 FREEMAN AVENUE, URBANA, OH 43078
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.04074
OH
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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