Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 1965 | MA |
Y | 225XH1200X | Occupational Therapist - Hand | 1965 | MA |
NPI | 1043224371 |
---|---|
Provider Name | Deborah D Fraine |
First Address | Dartmouth, MA 02747-1242 |
Second Address | Dartmouth, MA 02747-1242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2006 |
Last Update Date | 06/02/2018 |