Individual
MRS. KELLIE ANNE FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9 ALEXANDRA RD, LANDING, NJ 07850-1748
(197) 360-1157
Mailing address
9 ALEXANDRA RD, LANDING, NJ 07850-1748
(197) 360-1157
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00244400
NJ
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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