Individual
ERIC MICHAEL FISCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT, OTR
Contact information
Practice address
2233 W JEFFERSON ST, KOKOMO, IN 46901-4121
(765) 457-9175
Mailing address
4058 S 580 W, RUSSIAVILLE, IN 46979-9796
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
31005618A
IN
Other
Enumeration date
07/04/2017
Last updated
08/24/2017
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