Individual
MATTHEW FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
17147 W MOLLY LN, SURPRISE, AZ 85387-2153
(605) 295-2782
Mailing address
17147 W MOLLY LN, SURPRISE, AZ 85387-2153
(605) 295-2782
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/18/2015
Last updated
12/13/2023
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