Provider Demographics
NPI:1255419289
Name:FISHER, DONNA KAREN (MSPT)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:KAREN
Last Name:FISHER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19545 NW 8TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-3137
Mailing Address - Country:US
Mailing Address - Phone:954-746-9400
Mailing Address - Fax:954-577-4158
Practice Address - Street 1:19545 NW 8TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-3137
Practice Address - Country:US
Practice Address - Phone:954-746-9400
Practice Address - Fax:954-577-4158
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT20201225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist