Individual
MR. ERICK JAMES FISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
010000875
DC
225X00000X
Occupational Therapist
115286
TX
225X00000X
Occupational Therapist
Primary
13457
CA
225X00000X
Occupational Therapist
OC015226
PA
Other
Enumeration date
06/12/2013
Last updated
10/16/2017
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