Individual
SUSAN JEAN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
120 AJA CIR, SEGUIN, TX 78155-8730
(830) 372-5472
Mailing address
120 AJA CIR, SEGUIN, TX 78155-8730
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2048701
TX
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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