Individual
TANYA FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 N ADMIRE AVE, EL RENO, OK 73036-2603
(405) 514-2990
Mailing address
PO BOX 1261, 205 N. ADMIRE AVE, EL RENO, OK 73036-1261
(405) 514-2990
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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