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Individual

BARRY FITTERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4650 W ESPLANADE AVE STE 106, METAIRIE, LA 70006-2765
(504) 885-0007
Mailing address
205 FROST LN, MANDEVILLE, LA 70448-7028
(504) 491-1365

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z10656
LICENSE#
LA
Enumeration date
11/01/2006
Last updated
01/17/2022
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