Individual
MARY LYNN FRIES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
711 S COWLEY ST, SPOKANE, WA 99202-1330
(509) 473-6000
Mailing address
PO BOX 31024, SPOKANE, WA 99223-3017
(509) 443-1093
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00001001
WA
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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