Individual
MS. DAWN THERESA FISKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1109 PINELLAS BAYWAY S, UNIT 308, SAINT PETERSBURG, FL 33715-2173
(727) 954-3276
Mailing address
1109 PINELLAS BAYWAY S, UNIT 308, SAINT PETERSBURG, FL 33715-2173
(727) 954-3276
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13730
FL
225X00000X
Occupational Therapist
OT374
ME
Other
Enumeration date
01/07/2011
Last updated
11/14/2019
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