Keith C. Fisher PT, OCS, MTC

NPI 1124073929 - Physical Therapist - 225100000X

NPI Details
NPI 1124073929
Gender Male
Enumeration Date 05/23/2006
Last Updated 11/11/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1212 MEMORIAL DR
SUITE 1
MANITOWOC WI, 54220-2247, US
Phone (920) 652-9554
Fax (920) 652-9556
Business Location
790 REMINGTON BLVD
BOLINGBROOK IL, 60440-4909, US
Phone (630) 296-2223
Fax (630) 759-9510
Toxanomy
Taxonomy Code 225100000X
License State Wisconsin
License Number 2759-024
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According to our database, Mr. Keith C. Fisher PT, OCS, MTC NPI is 1124073929, taxonomy code is 225100000X and license number is 2759-024, license state is located at Wisconsin. Keith C. Fisher PT, OCS, MTC physically located at 1212 Memorial Dr, Manitowoc WI, 54220-2247. NPI Number Keith C. Fisher PT, OCS, MTC has the Individual type.

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1124073929 NPI number is provided on an as is basis without warranty of any kind. 1124073929 is maintained by the National Plan & Provider Enumeration System. The contents of Keith C. Fisher PT, OCS, MTC are for informational purposes only.