| NPI | 1376945097 |
|---|---|
| Former Name | COLLEEN PATRICIA FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT31076) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT011196L) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2016-09-13 |