Individual
MARISSA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPO
Contact information
Practice address
7735 W JEFFERSON BLVD STE C, FORT WAYNE, IN 46804-4135
(260) 483-5219
(260) 203-2155
Mailing address
7735 W JEFFERSON BLVD STE C, FORT WAYNE, IN 46804-4135
(260) 483-5219
(260) 203-2155
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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