Individual
MS. SUSAN ANN FISKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
59 SUMMER ST, REHOBOTH, MA 02769-2221
(508) 252-5814
Mailing address
113 ORCHARD AVE APT B, WAKEFIELD, RI 02879-4100
(401) 919-4615
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
721
MA
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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