Individual
SHANNA FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
350 MONTEVUE LN, FREDERICK, MD 21702-8214
(301) 600-1161
Mailing address
39 WOOD STORK CT, CLAYTON, NC 27520-4178
(919) 912-2030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14787
NC
225XP0200X
Pediatric Occupational Therapist
08830
MD
Other
Enumeration date
11/02/2016
Last updated
03/09/2022
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