Individual
CYRIL FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
110 HOLT COLLIER DR, VICKSBURG, MS 39180
(601) 636-6019
(601) 661-8457
Mailing address
151 AMOS RD, VICKSBURG, MS 39183-7832
(601) 636-6019
(601) 661-8457
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTA1507
MS
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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