Individual
HOLLY FRYBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 W LAFEVER ST, OSSIAN, IN 46777-9327
(260) 402-3396
Mailing address
308 W LAFEVER ST, OSSIAN, IN 46777-9327
(260) 402-3396
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001346A
IN
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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