Individual
MRS. PENNY R FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1950 RIDGEDALE RD, SOUTH BEND, IN 46614-2243
(574) 291-6722
Mailing address
192 VILLAGE DR, APT A, MISHAWAKA, IN 46545-3644
(574) 252-0488
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003182A
IN
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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