Individual
RACHEL FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7 ELM ST, SUITE 204, ENFIELD, CT 06082-3669
(860) 741-2242
(860) 741-2248
Mailing address
7 ELM ST, SUITE 204, ENFIELD, CT 06082-3669
(860) 741-2242
(860) 741-2248
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000955
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076572
MEDICARE GROUP ID
CT
Enumeration date
12/05/2007
Last updated
12/05/2007
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