Provider Demographics
NPI:1356556831
Name:FRYE, MARGARET RUTH (LPTA)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:RUTH
Last Name:FRYE
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 STONEWALL DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-2277
Mailing Address - Country:US
Mailing Address - Phone:540-542-0586
Mailing Address - Fax:540-542-0534
Practice Address - Street 1:1919 CASTLEMAN RD
Practice Address - Street 2:
Practice Address - City:BERRYVILLE
Practice Address - State:VA
Practice Address - Zip Code:22611-2742
Practice Address - Country:US
Practice Address - Phone:540-955-4080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306000496171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor