Individual
GEOFFREY THOMAS FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
573 N 1660 W, LINDON, UT 84042-2078
(801) 471-9546
Mailing address
PO BOX 307, BOUNTIFUL, UT 84011-0307
(801) 294-6907
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
311140-4201
UT
Other
Enumeration date
08/19/2014
Last updated
06/09/2015
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