Healthcare Provider Details

I. General information

NPI: 1255437620
Provider Name (Legal Business Name): KATHLEEN FISCHER OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2535 S DOWNING ST STE 580
DENVER CO
80210-5847
US

IV. Provider business mailing address

992 KARLANN DR
GOLDEN CO
80403-9067
US

V. Phone/Fax

Practice location:
  • Phone: 303-777-2393
  • Fax:
Mailing address:
  • Phone: 303-582-0110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number1006697
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: