Individual
PAUL FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(352) 237-7776
Mailing address
707 BAHIA CIR, OCALA, FL 34472-8825
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23886
FL
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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