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NPI Code Detail

MEDICARE: DANA FISHER OTR

MEDICARE: DANA FISHER OTR
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
1225X00000XOccupational Therapist31003332AIN

General Provider Information

NPI Number : 1215148523
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA FISHER OTR
Provider Business Mailing Address
First Line : 1116 MILLIS AVE
Second Line :
City : BOONVILLE
State : IN
Zip : 47601-2204
Country : US
Telephone Number : 812-897-7158
Fax Number :
Provider Business Practice Location Address
First Line : 1116 MILLIS AVE
Second Line :
City : BOONVILLE
State : IN
Zip : 47601-2204
Country : US
Telephone Number : 812-891-7158
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2007
Last Update Date : 09/20/2025

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Directions to “ DANA FISHER OTR” Practice Location

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