Individual
GARRETT MICHAEL FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 E GREENVILLE DR, GREENVILLE, PA 16125-8501
(724) 977-3932
Mailing address
12 E GREENVILLE DR, GREENVILLE, PA 16125-8501
(724) 977-3932
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A6565
PHYSICAL THERAPY ASSISTANT
NC
01
—
TE010924
PHYSICAL THERAPY ASSISTANT
PA
Enumeration date
04/17/2018
Last updated
04/17/2018
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