Individual
LAURENE ELIZABETH FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3630 MISSION AVE, CARMICHAEL, CA 95608-2933
(916) 488-1580
Mailing address
4620 MINNESOTA AVE, FAIR OAKS, CA 95628-5803
(916) 832-4780
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
4348
CA
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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