Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT003525 | OH |
NPI | 1003040700 |
---|---|
Provider Name | Wendy L Abrahms Fishman |
First Address | Cleveland, OH 44130-6588 |
Second Address | Cleveland, OH 44115-3204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2009 |
Last Update Date | 08/05/2009 |