Individual
JOANNE FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4553 HINCKLEY INDUSTRIAL PKWY, CLEVELAND, OH 44109-6009
(216) 635-3529
Mailing address
4553 HINCKLEY INDUSTRIAL PKWY, CLEVELAND, OH 44109-6009
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-0126
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4268391
MEDICARE PTAN
OH
Enumeration date
02/23/2007
Last updated
01/21/2010
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