Individual
THERESA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39029 GARDENSIDE DR, WILLOUGHBY, OH 44094-7909
(800) 330-7711
Mailing address
39029 GARDENSIDE DR, WILLOUGHBY, OH 44094-7909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006696
VA
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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