Individual
SARA MARIE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9225 UNIVERSITY BLVD STE E2C, NORTH CHARLESTON, SC 29406-9149
(843) 569-4546
(843) 569-4535
Mailing address
9225 UNIVERSITY BLVD STE E2C, NORTH CHARLESTON, SC 29406-9149
(843) 569-4546
(843) 569-4535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5748
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14635565
CAQH
—
Enumeration date
03/12/2020
Last updated
03/12/2020
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