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Individual

DR. CASEY L FITZPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1400 NALLEY TER, LANDOVER, MD 20785-4434
(443) 764-7535
Mailing address
501 NORTON LN, ARNOLD, MD 21012-2359
(443) 883-0748

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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