Individual
KAITLYN MARIA FRYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
147 REIST ST, BUFFALO, NY 14221-5321
(716) 633-5400
Mailing address
8725 LOZINA DR, NIAGARA FALLS, NY 14304-1832
(716) 298-5337
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008982-1
NY
Other
Enumeration date
09/08/2018
Last updated
09/08/2018
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