Individual
JACQUELINE A FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(267) 807-0550
Mailing address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(267) 807-0550
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004327
CT
225X00000X
Occupational Therapist
Primary
004327
PA
Other
Enumeration date
12/17/2014
Last updated
05/06/2026
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