Individual
CARA RENE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1102 SIKES AVE, SIKESTON, MO 63801-5021
(573) 471-5755
Mailing address
1102 SIKES AVE, SIKESTON, MO 63801-5021
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004348
MO
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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