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Individual

STEPHANIE NICOLE FRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
115 E ARNDT ST, FOND DU LAC, WI 54935-2461
(920) 923-7040
Mailing address
242 E 10TH ST, FOND DU LAC, WI 54935-5145
(920) 933-0686

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6117-26
WI

Other

Enumeration date
07/25/2017
Last updated
07/25/2017
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