Individual
KEWANNA D FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
229 ROUTE 202, APT. 3H, POMONA, NY 10970
(302) 465-2034
Mailing address
229 ROUTE 202, APT. 3H, POMONA, NY 10970-2606
(302) 465-2034
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007987-1
NY
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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