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Individual
LISA FITZMAURICE
Active
Individual
LISA FITZMAURICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
9017
MA
363A00000X
Physician Assistant
Primary
014901
NY
Other
Enumeration date
05/01/2007
Last updated
09/10/2018
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