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General NPI Number Information
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NPI Number | 1558484303
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Entity Type | Organization
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Legal Business Name | FISHER PHYSICAL THERAPY
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1321 COLLEGE ST STE D
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City | WOODLAND
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State | CA
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Zip | 95695-4706
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Country | US
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Telephone | 530-662-0378
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Fax | 530-662-9093
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Provider Business Mailing Address
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Address Line | 1321 COLLEGE ST STE D
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City | WOODLAND
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State | CA
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Zip | 95695-4706
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Country | US
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Telephone | 530-662-0378
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Fax | 530-662-9093
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | MS. KRIS LINDSEY-MANION
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Credential |
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Telephone | 530-642-8599
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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 | PT22861
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License Number State | CA
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