Kelly A. Fryer-Tisevich, P.T.

NPI #1902834807 in Canton, Ohio

Provider Information

NPI Number: 1902834807
Entity Type: Individual
Name: Kelly A. Fryer-Tisevich, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: P.T.
Enumeration Date: Jun 29, 2006
Last Updated: Sep 24, 2007

Practice Location

Address: 4650 HILLS AND DALES RD NW
Address 2: SUITE 100
City: Canton
State: Ohio
ZIP Code: 44708-6220
Phone: (330) 477-9720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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