Individual
SUZANNE D FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A./L
Contact information
Practice address
1617 SHAMROCK ST NW, ROANOKE, VA 24017-2219
(540) 362-5959
Mailing address
1617 SHAMROCK ST NW, ROANOKE, VA 24017-2219
(540) 362-5959
Taxonomy
Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
Primary
0131000057
VA
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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