Individual
CHARLOTTE MARIE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 257-5959
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 257-5959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT010079
GA
2251P0200X
Pediatric Physical Therapist
Primary
2008019279
MO
2251P0200X
Pediatric Physical Therapist
PT010079
GA
Other
Enumeration date
07/16/2008
Last updated
10/24/2017
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