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NPI Code Detail

MEDICARE: JENNIFER DHON FISHER P.T.

MEDICARE: JENNIFER DHON FISHER P.T.
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
1225100000XPhysical Therapist3032OK

General Provider Information

NPI Number : 1225159023
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER DHON FISHER P.T.
Provider Business Mailing Address
First Line : PO BOX 5
Second Line :
City : CRESCENT
State : OK
Zip : 73028-0005
Country : US
Telephone Number : 405-969-3185
Fax Number :
Provider Business Practice Location Address
First Line : 6400 N SANTA FE AVE
Second Line : SUITE B
City : OKLAHOMA CITY
State : OK
Zip : 73116-9126
Country : US
Telephone Number : 405-840-2903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 07/08/2007

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