Individual
MICKI ELAINE FRAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
150 N ROSENBERGER AVE, EVANSVILLE, IN 47712-6503
(812) 476-7000
Mailing address
PO BOX 6890, EVANSVILLE, IN 47719-0890
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003317A
IN
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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