Shasta Fisher, COTA/L

NPI #1487046769 in Leesburg, Florida

Provider Information

NPI Number
1487046769
Entity Type
Individual
Name
Shasta Fisher, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Feb 24, 2015
Last Updated
Feb 24, 2015

Practice Location

Address
600 W NORTH BLVD
State
Florida
ZIP Code
34748-5063
Phone
(352) 728-6636

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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