Jessica Frye, ITDS

NPI #1386467900 in Crestview, Florida

Provider Information

NPI Number: 1386467900
Entity Type: Individual
Name: Jessica Frye, ITDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: ITDS
Enumeration Date: Nov 2, 2024
Last Updated: Nov 2, 2024

Practice Location

Address: 1525 BEL AIRE DR
City: Crestview
State: Florida
ZIP Code: 32536-3240
Phone: (850) 225-8340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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