Individual
MS. DIANE E FISHER-KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6242
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0364789
—
MA
01
—
123140
FALLON
MA
01
—
2329197
AETNA US HEALTHCARE
MA
01
—
470247
TUFTS HEALTH PLAN
MA
01
—
650020187
RAILROAD MEDICARE
MA
01
—
Y66544
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/09/2006
Last updated
06/17/2008
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