IndividualActive
Timothy Fisch
NPI 1962054924 · Gerontology Occupational Therapist · Scranton, PA
Provider details
- NPI number
- 1962054924
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- OC014973 (PA)
Mailing address
1101 Vine St
Scranton, PA 18510-2193
Registry dates
- Enumerated
- 2019-07-10
- Last updated
- 2019-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.