Individual
KAYLA ROSE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2150 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-8472
(928) 763-8700
Mailing address
1630 3RD AVE SW, D8, WATERTOWN, SD 57201-3467
(605) 295-3682
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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