Individual
KHYLA MARILYN FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA, BT
Contact information
Practice address
1081 OAK ST # 3, PITTSTON, PA 18640-3716
(888) 726-4774
Mailing address
12 FAIRVIEW PARK, MOUNTAIN TOP, PA 18707-1312
(570) 262-5924
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
Primary
OP009993
PA
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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