Provider Demographics
NPI:1447377676
Name:FISCHER, DONNA MARIE (CTRS)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:FISCHER
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5822 CLIFF RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75249-1629
Mailing Address - Country:US
Mailing Address - Phone:972-298-6208
Mailing Address - Fax:
Practice Address - Street 1:5822 CLIFF RIDGE DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75249-1629
Practice Address - Country:US
Practice Address - Phone:972-298-6208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist