Individual
AUDREY ELLEN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(304) 797-6496
Mailing address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1590
WV
225X00000X
Occupational Therapist
OC012687
PA
225X00000X
Occupational Therapist
OT008794
OH
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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