Individual
COLLEEN T FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
Mailing address
PO BOX 102, MERCER ISLAND, WA 98040-0102
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CO60946163
WA
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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