Provider Demographics
NPI:1962810218
Name:FISCHER, KATHRYN JANE (LAT, MS, ATC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:JANE
Last Name:FISCHER
Suffix:
Gender:F
Credentials:LAT, MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 W MACPHAIL RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4474
Mailing Address - Country:US
Mailing Address - Phone:410-399-9590
Mailing Address - Fax:410-399-9591
Practice Address - Street 1:620 W MACPHAIL RD
Practice Address - Street 2:SUITE 105
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4474
Practice Address - Country:US
Practice Address - Phone:410-399-9590
Practice Address - Fax:410-399-9591
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00000282255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer