Individual
MARIE E FIGHTMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
560 SOUTH LOOP RD, EDGEWOOD, KY 41017
(859) 301-5600
(859) 301-5669
Mailing address
PO BOX 6031, CINCINNATI, OH 45270-6031
(513) 557-4270
(513) 557-3214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4089
KY
225XH1200X
Hand Occupational Therapist
OT004089
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8800052600
—
KY
Enumeration date
10/24/2005
Last updated
11/15/2023
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