Individual
MIRANDA SAGE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1871 OLD MAIN DR, SHIPPENSBURG, PA 17257-2200
(717) 477-1749
(717) 477-4070
Mailing address
1871 OLD MAIN DR, SHIPPENSBURG, PA 17257-2200
(717) 477-1749
(717) 477-4070
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004798
PA
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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