Individual
MRS. PAMELA L FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5404 W LOOMIS RD, GREENDALE, WI 53129-1411
(414) 421-0088
Mailing address
4115 S QUINCY AVE, MILWAUKEE, WI 53207-4471
(414) 481-0284
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1013027
WI
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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