SHANE DAVID FRASHER

MILWAUKEE, WI
NPI1205487444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  469-27)
Enumeration Date2019-09-27
Last Update Date2019-09-27
Business Address
MR. SHANE DAVID FRASHER COTA
3540 S 43RD ST
MILWAUKEE, WI 53220-1502
Phone number: 414-328-2104
Mailing Address
MR. SHANE DAVID FRASHER COTA
3540 S 43RD ST
MILWAUKEE, WI 53220-1502
Phone number: 414-328-2104
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