Individual
MEGAN FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1076 RIBAUT RD, SUITE 102, BEAUFORT, SC 29902-5476
(843) 521-1970
(843) 521-0908
Mailing address
1076 RIBAUT RD, SUITE 102, BEAUFORT, SC 29902-5476
(843) 521-1970
(843) 521-0908
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3378
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3378
LISENCE
SC
Enumeration date
09/08/2015
Last updated
09/08/2015
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