Individual
MS. SUSAN DORENE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT ASST
Contact information
Practice address
2219 N 6TH ST, CHENEY, WA 99004
(509) 235-6196
Mailing address
PO BOX 337, MEDICAL LAKE, WA 99022
(509) 299-6488
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
WA
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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