Individual
JENNIFER S FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
13616 TUSCON PASS, FORT WAYNE, IN 46814-8865
(919) 720-1994
Mailing address
13616 TUSCON PASS, FORT WAYNE, IN 46814-8865
(919) 720-1994
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31003231A
INDIANA LICENSE
IN
Enumeration date
02/17/2023
Last updated
02/14/2025
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