Individual
DEBRA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 GLENHAVEN DR, ALTON, IL 62002-6759
(618) 462-1500
Mailing address
100 GLENHAVEN DR, ALTON, IL 62002-6759
(618) 462-1500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.009761
IL
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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