Individual
MRS. KASSANDRA ESTELLE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202
(313) 916-1126
Mailing address
28807 BESTE ST., SAINT CLAIR SHORES, MI 48081
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009486
MI
225X00000X
Occupational Therapist
—
MI
Other
Enumeration date
03/07/2018
Last updated
03/23/2021
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