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NPI Code Detail

MEDICARE: MRS. SHARON FISHER OTR

MEDICARE: MRS. SHARON 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 Therapist4153CA

General Provider Information

NPI Number : 1992923650
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHARON FISHER OTR
Provider Business Mailing Address
First Line : 24632 CALLE ARDILLA
Second Line :
City : CALABASAS
State : CA
Zip : 91302-3006
Country : US
Telephone Number : 818-591-0104
Fax Number : 818-719-4631
Provider Business Practice Location Address
First Line : 5601 DE SOTO AVE
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-6701
Country : US
Telephone Number : 818-719-2936
Fax Number : 818-719-4631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2007
Last Update Date : 12/02/2021

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