Individual
KAITLIN M FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3907 CARATOKE HWY, BARCO, NC 27917-9500
(252) 457-0500
Mailing address
796 TULLS CREEK RD, MOYOCK, NC 27958-9372
(757) 927-0922
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13464
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639630452
—
NC
Enumeration date
05/24/2021
Last updated
05/24/2021
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