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Individual

KIMBERLY FRASER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
620 WARRINGTON AVE, DANVILLE, IL 61832-5446
(217) 444-2842
Mailing address
803 MILL RD, GEORGETOWN, IL 61846-6005
(217) 553-8628

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006488
IL

Other

Enumeration date
01/18/2022
Last updated
01/18/2022
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