Individual
TYZHANE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3200 PEEK RD APT 5313, KATY, TX 77449-2872
(914) 564-6550
Mailing address
3200 PEEK RD APT 5313, KATY, TX 77449-2872
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217134
TX
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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