Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 3991 | OH |
NPI | 1124501762 |
---|---|
Provider Name | Joy Fisher |
First Address | Marion, OH 43302-6604 |
Second Address | Delaware, OH 43015-1410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2018 |
Last Update Date | 10/09/2018 |