Individual
MRS. TAYA M FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1721 TEASLEY LN APT 148, DENTON, TX 76205-7742
(254) 431-8600
Mailing address
1721 TEASLEY LN APT 148, DENTON, TX 76205-7742
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215678
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
02/19/2019
Last updated
04/19/2019
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