Individual
ZACHARY WYATT FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
250 UNIVERSITY AVE, CALIFORNIA, PA 15419-1341
(724) 938-4000
Mailing address
66 S SHORE DR, SOUTH AMBOY, NJ 08879-3431
(908) 577-8006
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006737
PA
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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