Basic Information
| Provider Information | |||||||||
| NPI: | 1447845532 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRASCHIERI | ||||||||
| FirstName: | NICOLE | ||||||||
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| Credential: | COTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 263 ARBOR RD NE | ||||||||
| Address2: | |||||||||
| City: | MINERVA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 446579742 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 1330432678 | ||||||||
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| Practice Location | |||||||||
| Address1: | 109 BLOSSOM LN | ||||||||
| Address2: | |||||||||
| City: | SALEM | ||||||||
| State: | OH | ||||||||
| PostalCode: | 444604284 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303373033 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/01/2021 | ||||||||
| LastUpdateDate: | 03/01/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 224Z00000X | 06616 | OH | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant |
No ID Information.