Individual
JESSICA IRIS FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4630 17TH ST, SARASOTA, FL 34235-1843
(941) 487-5400
(941) 487-5430
Mailing address
4802 51ST ST W APT 1009, BRADENTON, FL 34210-5108
(973) 534-8684
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
23775
FL
Other
Enumeration date
12/21/2022
Last updated
11/28/2023
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