Individual
KENNETH WILLIAM FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1025 9TH AVE, GREELEY, CO 80631-4039
(970) 348-6000
(970) 348-6231
Mailing address
1025 9TH AVE, GREELEY, CO 80631-4039
(970) 348-6000
(970) 348-6231
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0002263
CO
225XP0200X
Pediatric Occupational Therapist
OT.0002263
CO
Other
Enumeration date
12/06/2023
Last updated
04/03/2024
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