| NPI | 1891872131 |
|---|---|
| Former Name | DEBRA FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT010749L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT001390) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-10-11 |