Individual
BRAD MICHAEL FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8800 HOLDEN BLVD, FAIRFIELD, OH 45014-2100
(513) 235-3065
Mailing address
1862 CRESWELL DR, CINCINNATI, OH 45240-1535
(513) 235-3065
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004692
OH
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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