Active NPIIndividual provider

Kewanna D Frazier, OTA

Occupational Therapy Assistant in Pomona, New York

NPI Number1689942153
Practice location
229 Route 202, Apt. 3H, Pomona, NY 10970
Fax
—
Last updated
December 12, 2011

Kewanna D Frazier is an Occupational Therapy Assistant based in Pomona, NY. Kewanna D Frazier practices in Pomona, NY and has the professional credentials of OTA. The NPI Number for Kewanna D Frazier is 1689942153 and holds a License No. 007987-1 (NY). The current practice location address for Kewanna D Frazier is 229 Route 202, Apt. 3H, Pomona, NY 10970 and can be reached out via phone at 302-465-2034.

Provider Profile Details

NPI Number
1689942153
Provider Name
Kewanna D Frazier
Credential
OTA
Provider Entity Type
Individual
Gender
Female
Address
229 Route 202, Apt. 3H, Pomona, NY 10970
Phone Number
302-465-2034
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
December 12, 2011
Last Update Date
December 12, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
229 Route 202
Apt. 3H
Pomona, NY 10970
City
Pomona
Zip
10970
Phone Number
302-465-2034
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
229 Route 202
Apt. 3H
Pomona, NY 10970-2606
City
Pomona
State
NY
Zip
10970-2606
Phone Number
302-465-2034

License Information

License Number
007987-1
License State
NY
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kewanna D Frazier, OTA?

The NPI number of Kewanna D Frazier, OTA is 1689942153. It was assigned on December 12, 2011 and is currently active in the NPPES registry.

What is the specialty of Kewanna D Frazier, OTA?

Kewanna D Frazier, OTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NY under license number 007987-1.

Where does Kewanna D Frazier, OTA practice?

The practice location is 229 Route 202, Apt. 3H, Pomona, NY 10970. The office can be reached at 302-465-2034 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689942153 directly on the NPPES registry website.

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