Individual
CHERYL FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 HODENCAMP RD STE 100, THOUSAND OAKS, CA 91360-5810
(805) 449-3482
Mailing address
138 GLENDON CT, SIMI VALLEY, CA 93065-7392
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13089
CA
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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