Healthcare Provider Details

I. General information

NPI: 1801065891
Provider Name (Legal Business Name): FRUIN & ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2008
Last Update Date: 08/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314A STEPHENSON AVE
SAVANNAH GA
31405-5929
US

IV. Provider business mailing address

411 E 55TH ST
SAVANNAH GA
31405-3518
US

V. Phone/Fax

Practice location:
  • Phone: 912-355-3392
  • Fax: 912-355-3372
Mailing address:
  • Phone: 912-844-7931
  • Fax: 912-927-5097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: LINDA C FRUIN
Title or Position: OWNER
Credential: OTR/L
Phone: 912-844-9731