Individual
VITA MARIE FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
456 N NEW BALLAS RD STE 211, CREVE COEUR, MO 63141-6842
(314) 227-2124
Mailing address
456 N NEW BALLAS RD STE 211, CREVE COEUR, MO 63141-6842
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2023028203
MO
Other
Enumeration date
08/02/2023
Last updated
01/28/2025
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