Individual
JAMIE LYNN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
74455 DEQUINDRE RD, LEONARD, MI 48367-3104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003908
MI
Other
Enumeration date
07/30/2017
Last updated
07/30/2017
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