Individual
KIMBERLY LYNN FRAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
138 S FM 1329, SAN DIEGO, TX 78384-3925
(361) 270-8291
Mailing address
138 S FM 1329, SAN DIEGO, TX 78384-3925
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210591
TX
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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