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NPI Code Detail

MEDICARE: LINDA FRASIER OTR/L

MEDICARE:   LINDA  FRASIER  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
1225X00000XOccupational Therapist08-0005NV

General Provider Information

NPI Number : 1699449728
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA FRASIER OTR/L
Provider Business Mailing Address
First Line : 3428 ISLE DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89141-6145
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 850 LA SCONSA DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89138-7562
Country : US
Telephone Number : 702-526-5550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2021
Last Update Date : 08/05/2021

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Directions to “ LINDA FRASIER OTR/L” Practice Location

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