Individual
SHARONDA FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 E 155TH ST, HARVEY, IL 60426-3639
(773) 225-6221
Mailing address
115 E 155TH ST, HARVEY, IL 60426-3639
(773) 225-6221
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004545
IL
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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