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General NPI Number Information
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NPI Number | 1306389671
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Entity Type | Individual
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Provider Name | DANIELLE FISHER PT, DPT, ATC, MSAT
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Gender | Female
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Dates
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Enumeration Date | 11/18/2016
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 10305 PROMENADE PKWY
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City | ELK GROVE
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State | CA
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Zip | 95757-9400
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Country | US
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Telephone | 916-337-3818
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Fax |
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Provider Business Mailing Address
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Address Line | 119 EGLOFF CIR
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City | FOLSOM
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State | CA
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Zip | 95630-6616
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Country | US
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Telephone | 916-337-3818
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 292383
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License Number State | CA
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