Provider Demographics
NPI:1699927756
Name:RICHARDS-FISHEL, PAMELA JANE (COTA)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:JANE
Last Name:RICHARDS-FISHEL
Suffix:
Gender:
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 W JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-2179
Mailing Address - Country:US
Mailing Address - Phone:317-736-3187
Mailing Address - Fax:
Practice Address - Street 1:1070 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-2179
Practice Address - Country:US
Practice Address - Phone:317-225-2741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN32000242A224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant