| NPI | 1770060568 |
|---|---|
| Other Name | JASON FRIED |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |