Provider Demographics
NPI:1417167305
Name:FRYE, CHRISTOPHER MORWOOD (PT)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:MORWOOD
Last Name:FRYE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2887 BENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-4606
Mailing Address - Country:US
Mailing Address - Phone:404-431-2600
Mailing Address - Fax:678-935-5382
Practice Address - Street 1:2887 BENTWOOD DR
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-4606
Practice Address - Country:US
Practice Address - Phone:404-431-2600
Practice Address - Fax:678-935-5382
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT003613225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist