Individual
COLIN JAMES FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
460 ROOSEVELT RD, GLEN ELLYN, IL 60137-5611
(630) 858-8484
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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