Provider Demographics
NPI:1992951461
Name:FRASER, DEBORAH G (PT)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:G
Last Name:FRASER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 SHAW FARM RD
Mailing Address - Street 2:
Mailing Address - City:OAKVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06779-1467
Mailing Address - Country:US
Mailing Address - Phone:203-592-2699
Mailing Address - Fax:203-924-3044
Practice Address - Street 1:5 LAKE RD
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-2967
Practice Address - Country:US
Practice Address - Phone:203-922-3689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005404225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist