Bruce Robert Fisher COTA

NPI 1245502111 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1245502111
Gender Male
Enumeration Date 02/07/2012
Last Updated 02/07/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1400 E CROOKED LAKE DR
EUSTIS FL, 32726-5716, US
Phone (740) 416-2500
Fax
Business Location
1400 E CROOKED LAKE DR
PO BOX 385
EUSTIS FL, 32727, US
Phone (740) 416-2500
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Florida
License Number OTA 11284
Remove 1245502111 NPI Number
 

According to our database, Bruce Robert Fisher COTA NPI is 1245502111, taxonomy code is 224Z00000X and license number is OTA 11284, license state is located at Florida. Bruce Robert Fisher COTA physically located at 1400 E Crooked Lake Dr, Eustis FL, 32726-5716. NPI Number Bruce Robert Fisher COTA has the Individual type.

Sponsored links

1245502111 NPI number is provided on an as is basis without warranty of any kind. 1245502111 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce Robert Fisher COTA are for informational purposes only.