Individual
JESSICA FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6434 DALE DR, MARION, MS 39342-8704
(601) 483-4285
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4976
MS
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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