Individual
KATHLEEN BRYN FITZMAURICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1111 EUCLID AVE, CAMERON, MO 64429-2005
(816) 649-1679
Mailing address
8 S CARRIAGE DR, SAINT JOSEPH, MO 64506-1233
(816) 344-7711
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2013021650
MO
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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