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Individual
SANDRA K FISHER
Active
Individual
SANDRA K FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002975L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
506259
BLUE SHIELD
PA
Enumeration date
07/26/2006
Last updated
04/10/2009
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