MEDICARE: DONNA MARIE FISCHER CTRS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225800000X	Recreation Therapist

General Provider Information

NPI Number	:	1447377676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA MARIE FISCHER CTRS

Provider Business Mailing Address
First Line	:	5822 CLIFF RIDGE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75249-1629
Country	:	US
Telephone Number	:	972-298-6208
Fax Number	:

Provider Business Practice Location Address
First Line	:	5822 CLIFF RIDGE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75249-1629
Country	:	US
Telephone Number	:	972-298-6208
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	07/08/2007

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Directions to “ DONNA MARIE FISCHER CTRS” Practice Location

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