MEDICARE: SARAH FRANCES FISCUS

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
1	225X00000X	Occupational Therapist	OT011675	OH

General Provider Information

NPI Number	:	1851011001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH FRANCES FISCUS

Provider Business Mailing Address
First Line	:	800 HARBOR BLVD APT 1018A
Second Line	:
City	:	WEEHAWKEN
State	:	NJ
Zip	:	07086-7563
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3430 ROCKY RIVER DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111-2954
Country	:	US
Telephone Number	:	216-251-0303
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2022
Last Update Date	:	10/02/2023

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