Individual
STEPHEN FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3021 FRANKLIN AVE, RIVERSIDE, CA 92507-3337
(951) 358-7877
Mailing address
3021 FRANKLIN AVE, RIVERSIDE, CA 92507-3337
(951) 358-7877
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
HRPSS015923
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/21/2025
Last updated
04/27/2026
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