Frye, Tomoe Maruta
Frye, Tomoe Maruta is an individual health care provider with primary practice located at 5610 Bermuda Road Ste. A, Stone Mountain GA 30087. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Frye, Tomoe Maruta can be contacted via phone (678) 684-3872.Contact Information
Primary practice address
5610 Bermuda Road Ste. A
Stone Mountain GA 30087
Phone: (678) 684-3872
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 005059 | Georgia |
Profile Details
| NPI number | 1043242837 |
|---|---|
| LBN Legal business name | Frye, Tomoe Maruta |
| Credentials | LPTA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Oct 12th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043242837 | NPPES |
| Arkansas | MEDICAID | 150477721 |
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