Individual
BEVERLY FITZWILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
489 CASTLE SHANNON BLVD, PITTSBURGH, PA 15234-1419
(412) 563-5665
Mailing address
5139 CHEVY CHASE DR, FINLEYVILLE, PA 15332-9429
(412) 563-5665
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006692
PA
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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