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Individual

TINA FISCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
RR 2 BOX 155, VANDALIA, IL 62471-9509
(618) 339-7192
Mailing address
RR 2 BOX 155, VANDALIA, IL 62471-9509

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006432
IL

Other

Enumeration date
06/13/2014
Last updated
06/13/2014
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