Individual
CASEY FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 N 17TH AVE, BEECH GROVE, IN 46107-1169
(317) 204-3736
(317) 324-3965
Mailing address
10 S 9TH ST STE 4, NOBLESVILLE, IN 46060-2631
(317) 204-3736
(317) 324-3965
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006146A
IN
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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