Individual
ALYSSA FITZWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3435 MARTIN WAY E STE D, OLYMPIA, WA 98506-5071
(360) 488-8211
Mailing address
3435 MARTIN WAY E STE D, OLYMPIA, WA 98506-5071
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93-4639966
—
WA
Enumeration date
05/16/2025
Last updated
05/16/2025
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