Provider Demographics
NPI:1780741041
Name:FRAZIER, DONNA MARIE (OTR)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:MARIE
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 JOHNS RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-1140
Mailing Address - Country:US
Mailing Address - Phone:845-695-1954
Mailing Address - Fax:
Practice Address - Street 1:26 JOHNS RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-1140
Practice Address - Country:US
Practice Address - Phone:845-695-1954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0008981-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist