Individual
KELLY FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, COMT, CLT
Contact information
Practice address
7872 CENTURY BLVD, CHANHASSEN, MN 55317-8005
(952) 448-9081
Mailing address
7872 CENTURY BLVD, CHANHASSEN, MN 55317-8005
(952) 448-9081
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104712
MN
Other
Enumeration date
07/17/2014
Last updated
08/10/2021
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