Individual
MRS. JILL L FISHER
Active
Individual
MRS. JILL L FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT02430
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000353162
ANTHEM
OH
05
—
0090321
—
OH
01
—
9384476
PHCS
OH
01
—
P00728506
MEDICARE RAILROAD
OH
Enumeration date
07/13/2005
Last updated
01/22/2014
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