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Kelly A. Fryer-tisevich, PT
Specialist in Canton, Ohio
NPI 1902834807

Kelly A. Fryer-tisevich is a Specialist based in Canton, OH. Kelly A. Fryer-tisevich practices in Canton, OH and has the professional credentials of PT. The NPI Number for Kelly A. Fryer-tisevich is 1902834807 and holds a License No. PT10607 (Ohio).

The current practice location address for Kelly A. Fryer-tisevich is 4650 Hills And Dales Rd Nw, Canton, OH and can be reached out via phone at 330-477-9720.

Location: 4650 Hills And Dales Rd Nw, Canton, OH, 44708-6220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902834807
Provider Name
Kelly A. Fryer-tisevich
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
4650 Hills And Dales Rd Nw, Canton, OH, 44708-6220
Phone Number
330-477-9720
Fax Number
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PT - 10607 01 OH PT LICENSE
institution
Provider Business Practice Location Address Details
Address
4650 Hills And Dales Rd Nw
City
Canton
State
Ohio
Zip
44708-6220
Phone Number
330-477-9720
Fax Number
person
Provider Business Mailing Address Details
Address
4650 Hills And Dales Rd Nw
City
Canton
State
Ohio
Zip
44708-6220
Phone Number
330-477-9720
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT10607 (Ohio)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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