Healthcare Provider Details

I. General information

NPI: 1144099219
Provider Name (Legal Business Name): KRISTIN RENEE FISHER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTIN RENEE SCHEIBLE

II. Dates (important events)

Enumeration Date: 12/29/2023
Last Update Date: 12/29/2023
Certification Date: 12/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

584 COUNTY LINE RD W
WESTERVILLE OH
43082-7295
US

IV. Provider business mailing address

584 COUNTY LINE RD W
WESTERVILLE OH
43082-7295
US

V. Phone/Fax

Practice location:
  • Phone: 614-355-6061
  • Fax:
Mailing address:
  • Phone: 614-425-2232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number007689
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: