Individual
DR. CASEY L FITZPATRICK
Active
Individual
DR. CASEY L FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
27563
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063924942
—
NY
05
—
158198800
—
MD
Enumeration date
10/31/2017
Last updated
09/30/2021
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