Individual
THERESA ANNE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
530 FIRE ISLAND AVE, BABYLON, NY 11702-4418
(516) 698-0887
Mailing address
530 FIRE ISLAND AVE, BABYLON, NY 11702-4418
(516) 698-0887
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
026499
NY
2251P0200X
Pediatric Physical Therapist
33157
CA
Other
Enumeration date
08/30/2007
Last updated
09/21/2015
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