Fisher, Shasta

Fisher, Shasta is an individual health care provider with primary practice located at 600 W North Blvd , Leesburg FL 34748-5063. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Fisher, Shasta can be contacted via phone (352) 728-6636.

Contact Information

Primary practice address
600 W North Blvd Leesburg FL 34748-5063
Phone: (352) 728-6636
Fax: (352) 728-1322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA 12833 Florida

Profile Details

NPI number 1487046769
LBN Legal business name Fisher, Shasta
Credentials COTA/L
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2015
Last updated Feb 24th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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