Individual
KIMBERLY FRYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8115 GATEHOUSE RD, FALLS CHURCH, VA 22042-1203
(571) 423-4864
Mailing address
520 12TH ST S, 622, ARLINGTON, VA 22202-4223
(210) 885-3496
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
108636
TX
225X00000X
Occupational Therapist
Primary
119007043
VA
Other
Enumeration date
08/27/2012
Last updated
03/17/2018
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