Provider Demographics
NPI:1689998718
Name:FRASER- PARSLEY, KAYANA (OT)
Entity Type:Individual
Prefix:MRS
First Name:KAYANA
Middle Name:
Last Name:FRASER- PARSLEY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 BEVERLEY RD
Mailing Address - Street 2:APT # 3E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-3152
Mailing Address - Country:US
Mailing Address - Phone:718-687-0522
Mailing Address - Fax:
Practice Address - Street 1:310 BEVERLEY RD
Practice Address - Street 2:APT # 3E
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3152
Practice Address - Country:US
Practice Address - Phone:718-687-0522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-18
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021726-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist