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NPI Code Detail

MEDICARE: JOANNE FRY

MEDICARE: JOANNE FRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP-0126OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14268391OTHEROHMEDICARE PTAN

General Provider Information

NPI Number : 1699800193
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE FRY
Provider Business Mailing Address
First Line : 4553 HINCKLEY INDUSTRIAL PKWY
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-6009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4553 HINCKLEY INDUSTRIAL PKWY
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-6009
Country : US
Telephone Number : 216-635-3529
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2007
Last Update Date : 01/21/2010

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Directions to “ JOANNE FRY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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