Individual
MOIRA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12802 JOHNSON DR, SHAWNEE, KS 66216-1645
(913) 228-1407
Mailing address
5005 QUIVIRA RD, SHAWNEE, KS 66216-1346
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06876
KS
225100000X
Physical Therapist
2021036932
MO
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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