Individual
ALI SHANAE FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1300 STEAMBOAT WAY # 1335-1, NORMAN, OK 73071-7197
(937) 475-9188
Mailing address
1300 STEAMBOAT WAY # 1335-1, NORMAN, OK 73071-7197
(937) 475-9188
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
UA866609
OH
390200000X
Student in an Organized Health Care Education/Training Program
UA866609
OH
Other
Enumeration date
04/28/2017
Last updated
05/22/2019
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