| NPI | 1023555372 |
|---|---|
| Former Name | MADELYN JOY FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 5975 - 26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 16238) |
| 225X00000X Occupational Therapist (Licence: MD 07345) | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-09-27 |