Individual
AMY FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
400 PALMETTO HEALTH PKWY, COLUMBIA, SC 29212-1760
(803) 907-7000
Mailing address
3604 YALE AVE, COLUMBIA, SC 29205-3546
(816) 699-6704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
19604
MA
225100000X
Physical Therapist
1999140687
MO
225100000X
Physical Therapist
Primary
6860
SC
Other
Enumeration date
10/07/2014
Last updated
10/30/2024
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