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Individual

DERRICK FITTERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
3534 UNIVERSITY DR S, FARGO, ND 58104-6228
(701) 271-1817
(701) 271-1926
Mailing address
200 LEWIS AVE S, STE 210, WATERTOWN, MN 55388-4545
(952) 955-2242
(952) 955-2010

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1475
ND
225100000X
Physical Therapist
7800
MN

Other

Enumeration date
04/09/2014
Last updated
04/09/2014
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