Individual
BETHANY ANN FRYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 SUTPHIN DR, MARMET, WV 25315-1977
(304) 949-1580
Mailing address
1 SUTPHIN DR, MARMET, WV 25315-1977
(304) 949-1580
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1656
WV
Other
Enumeration date
09/13/2011
Last updated
03/19/2013
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