Individual
KIMBERLY FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6931 W SUNRISE BLVD, PLANTATION, FL 33313-4406
(954) 583-6200
Mailing address
11851 NW 36TH PL, SUNRISE, FL 33323-3603
(954) 540-0034
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31142
FL
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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