Individual
JESSICA DIANE FRACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
13352 ABERDEEN ST NE STE A, HAM LAKE, MN 55304-6877
(763) 786-5585
Mailing address
13352 ABERDEEN ST NE STE A, HAM LAKE, MN 55304-6877
(763) 786-5585
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104621
MN
Other
Enumeration date
07/16/2012
Last updated
05/28/2025
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