Most Relevant Information
Provider Data
| NPI Number: | 1003471640 |
| Provider Name: | AMANDA BETH FISCHER |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/09/2019 |
| Last Updated: | 05/09/2019 |
Provider Practice Location
1955 E DEGONIA RD
BOONVILLE
IN
476019748
Practice Location Phone/Fax
| Phone: | 8124308884 |
| Fax: |
Provider Mailing Location
1955 E DEGONIA RD
BOONVILLE
IN
476019748
Provider Mailing Phone/Fax
| Phone: | 8124308884 |
| Fax: |