Individual
JUSTIN LEE FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
20200 54TH AVE W, LYNNWOOD, WA 98036-6318
(425) 672-6400
(425) 672-6518
Mailing address
20200 54TH AVE W, LYNNWOOD, WA 98036-6318
(425) 672-6400
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
5995
OR
225100000X
Physical Therapist
Primary
36174
CA
225100000X
Physical Therapist
PT60323144
WA
Other
Enumeration date
07/10/2009
Last updated
08/09/2021
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