Ethel Latarsha Frazier, PT

NPI #1154515542 in Conyers, Georgia

Provider Information

NPI Number
1154515542
Entity Type
Individual
Name
Ethel Latarsha Frazier, PT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Aug 29, 2007
Last Updated
Aug 29, 2007

Practice Location

Address
3701 JOLANE TER SE
State
Georgia
ZIP Code
30094-3874
Phone
(770) 785-7937

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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