Organization
FULL SPECTRUM REHABILITATION AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA L FISHER MS, OTR/L (OCCUPATIONAL THERAPIST/OWNER)
(607) 227-4421
Entity
Organization
Contact information
Practice address
15 CATHERWOOD RD, ITHACA, NY 14850-1071
(607) 227-4421
(607) 463-0602
Mailing address
96 GUNDERMAN RD, ITHACA, NY 14850-8624
(607) 227-4421
(607) 463-0602
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/30/2019
Last updated
08/10/2022
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