Individual
NOLA R FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1608 S 24TH AVE STE 102, YAKIMA, WA 98902-5719
(509) 248-6113
(509) 457-8941
Mailing address
1608 S 24TH AVE STE 102, YAKIMA, WA 98902-5719
(509) 248-6113
(509) 457-8941
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4797
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118096
—
OR
01
—
885802001
BLUE CROSS BLUE SHIELD
OR
Enumeration date
01/23/2006
Last updated
09/24/2015
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