Provider Demographics
NPI:1023397015
Name:FRYE, REBECCA ANE (OT)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ANE
Last Name:FRYE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 SHULLO DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-5852
Mailing Address - Country:US
Mailing Address - Phone:330-836-1458
Mailing Address - Fax:330-867-9570
Practice Address - Street 1:1 PARK WEST BLVD
Practice Address - Street 2:SUITE 270
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-4218
Practice Address - Country:US
Practice Address - Phone:330-564-4100
Practice Address - Fax:330-564-4106
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH870225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist