Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251X0800X | Physical Therapist - Orthopedic | 1187393 | TX |
Y | 2251X0800X | Physical Therapist - Orthopedic | 5501014536 | MI |
N | 2251X0800X | Physical Therapist - Orthopedic | 60208969 | WA |
NPI | 1043712987 |
---|---|
Provider Name | Laura Fisher |
First Address | Ann Arbor, MI 48109-5000 |
Second Address | Ann Arbor, MI 48108-3346 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2018 |
Last Update Date | 07/03/2018 |