Individual
SCOTT ANDREW FITZWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
700 HIGH ST NE, ALBUQUERQUE, NM 87102-2565
(505) 242-4444
Mailing address
1784 IRA DR NE, RIO RANCHO, NM 87144-5441
(505) 231-3408
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1597
NM
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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