Individual
MS. KRISTEN MICHELLE FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
215 W 3RD AVE, GASTONIA, NC 28052-4058
(704) 866-6160
Mailing address
215 W 3RD AVE, GASTONIA, NC 28052-4058
(704) 866-6160
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5239
NC
225XP0200X
Pediatric Occupational Therapist
5239
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11543352
CAQH
NC
01
—
140KW
BCBS
NC
01
—
182464
MEDCOST
NC
05
—
7301838
—
NC
01
—
9396893
PHCS
—
Enumeration date
02/01/2006
Last updated
04/17/2026
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