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1700390796
CARLY FRY
JACKSON, TN
NPI
1700390796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 6596)
Enumeration Date
2017-11-29
Last Update Date
2017-11-29
Business Address
CARLY FRY PTA
614 CARRIAGE HOUSE DR STE E
JACKSON, TN 38305-4238
Phone number: 731-668-4449
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Mailing Address
CARLY FRY PTA
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 38305-4403
Phone number: 731-660-7971
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