Individual
MR. EDWARD G FRODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
7915 HANSON RD, HANSON, KY 42413-9418
(270) 322-8465
Mailing address
7915 HANSON RD, HANSON, KY 42413-9418
(270) 322-8465
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A4807
KY
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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