Organization
FITZPATRICK PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIAN CLAIRE FITZPATRICK P.T. (PRESIDENT)
(530) 622-9410
Entity
Organization
Contact information
Practice address
1252 BROADWAY, SUITE B, PLACERVILLE, CA 95667-5806
(530) 622-9410
(530) 622-9445
Mailing address
1252 BROADWAY, SUITE B, PLACERVILLE, CA 95667-5806
(530) 622-9410
(530) 622-9445
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ64235Z
BLUE SHIELD ID #
CA
Enumeration date
05/05/2006
Last updated
08/22/2020
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