Individual
TYLER BRENT FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
100 COMMERCE DR, MAUMELLE, AR 72113-6700
(501) 301-4530
Mailing address
100 COMMERCE DR, MAUMELLE, AR 72113-6700
(501) 301-4530
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4495
AR
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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