Individual
DESARAY FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
310 CORPORATE DR STE 101, KNOXVILLE, TN 37923-4638
(865) 693-5622
(865) 769-0801
Mailing address
310 CORPORATE DR STE 101, KNOXVILLE, TN 37923-4638
(865) 640-1299
(865) 769-0801
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3456
TN
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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