Female

Mrs. Toni L. Fisher P.T.

Pediatric Physical Therapist in Lawrenceville, GA(View on Map)

Full Name

Mrs. Toni Leigh Fisher P.T.

NPI Number

1346316015

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/27/2006

Specialties

(Taxonomies)

Code

2251P0200X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

006671

Contact
Information

Purpose

Mailing
Location

Address

545 OLD NORCROSS RD
545 OLD NORCROSS RD

City

Lawrenceville
Lawrenceville

State

GA
GA

Postal Code

30046-3389
30046-3389

Country

US
US

Telephone Number

(678) 377-2833
(678) 377-2833

Identifiers

Identifier

00857348B
10037597
307941

Identifier State

GA
GA
GA

Identifier Issuer

Unknown
AMERIGROUP PROVIDER #
WELLCARE PROVIDER #

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/30/2010

Provider Address

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