Individual
OWEN FRAZIER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
75 HALE ST, WILMINGTON, OH 45177-2104
(937) 383-1621
Mailing address
75 HALE ST, WILMINGTON, OH 45177-2104
(937) 383-1621
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA03840
OH
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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