Individual
CAROLYN A FRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2234 W HOUSTON ST STE B, BROKEN ARROW, OK 74012-3519
(918) 333-4343
(918) 333-4355
Mailing address
512 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-8231
(918) 333-4343
(918) 333-4355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2731
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200001580B
—
OK
Enumeration date
06/12/2006
Last updated
05/02/2016
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