Individual
JESSICA FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8501 HARCOURT RD, INDIANAPOLIS, IN 46260-2046
(178) 759-1053
(317) 808-8802
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005942A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
555850075
MEDICARE PTAN
IN
Enumeration date
03/30/2016
Last updated
10/23/2020
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