Individual
REGINA FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
818 PRAIRIE LN, EVANS, GA 30809-4263
(404) 821-8593
Mailing address
818 PRAIRIE LN, EVANS, GA 30809-4263
(404) 821-8593
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004985
GA
Other
Enumeration date
04/07/2016
Last updated
01/12/2018
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