Individual
HATTIE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4000 OUT LOOK DR, HURRICANE, WV 25526-9467
(304) 757-4102
Mailing address
102 BEECHWOOD AVE, WINFIELD, WV 25213-9557
(304) 552-1412
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1728
WV
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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