Organization
FULL SPECTRUM OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA FISHER MS, OTR/L (OWNER/PROVIDER)
(607) 227-4421
Entity
Organization
Contact information
Practice address
15 CATHERWOOD RD, ITHACA, NY 14850-1071
(607) 227-4421
(607) 463-0602
Mailing address
96 GUNDERMAN RD, ITHACA, NY 14850-8624
(607) 227-4421
(607) 463-0602
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06643489
—
NY
Enumeration date
06/15/2021
Last updated
08/10/2022
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