Individual
CONNIE MARIE FISHER
Active
Individual
CONNIE MARIE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015850
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
437008
HEALTH AMER/HEALTH ASSUR
PA
01
—
7758805
AETNA
PA
01
—
FI1870317
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/01/2006
Last updated
07/08/2007
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