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NPI Code Detail

MEDICARE: MICHELLE PIRCHMOSER FRASER OTR/L

MEDICARE: MICHELLE PIRCHMOSER FRASER OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist15454CA

General Provider Information

NPI Number : 1255289179
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE PIRCHMOSER FRASER OTR/L
Provider Business Mailing Address
First Line : 43580 PARKWAY ESPLANADE W
Second Line :
City : LA QUINTA
State : CA
Zip : 92253-4095
Country : US
Telephone Number : 760-416-1360
Fax Number :
Provider Business Practice Location Address
First Line : 150 DISTRICT CENTER DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92264-3626
Country : US
Telephone Number : 760-416-1360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “ MICHELLE PIRCHMOSER FRASER OTR/L” Practice Location

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