Individual
KIM FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 STATE ROAD V, DE SOTO, MO 63020-5116
(314) 550-2149
Mailing address
6955 S UNION PARK CTR STE 400, COTTONWOOD HEIGHTS, UT 84047-4192
(314) 439-1950
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005264
MO
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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