SearchWisconsinOccupational Therapy Assistant

Shane Frasher, COTA

NPI 1205487444 · on the registry since 2019

Practice

Address
3540 S 43rd St
Milwaukee, WI 53220
Phone
(414) 328-2104
Organisation at this address
Nsh Sunrise Llc
Ehf Sunrise Op, Llc
Lifesource Of North Carolina
Fmg South 43rd Street Wisconsin Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-09-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin