Individual
KERRY FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
320 GREENVILLE AVE, MINEOLA, TX 75773-1032
(903) 569-3852
Mailing address
206 HELEN DR, LINDALE, TX 75771-3327
(903) 578-5910
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209446
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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