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Individual

JENNIFER FRAZIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
877 JEFERSON AVE, MEMPHIS, TN 30103
(901) 545-7100
Mailing address
330 NORTH FERNWAY DRIVE, MEMPHIS, TN 38117

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1633
TN
224Z00000X
Occupational Therapy Assistant
211410
TX

Other

Enumeration date
12/29/2011
Last updated
12/29/2011
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