Individual
RAVEN VANTRYCE FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6777 CAMP BOWIE BLVD STE 650, FORT WORTH, TX 76116-7155
(817) 810-0660
Mailing address
6410 RIVERTRAIL CIR APT 112, ARLINGTON, TX 76001-1146
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
IL
224Z00000X
Occupational Therapy Assistant
Primary
—
TX
Other
Enumeration date
03/17/2025
Last updated
04/23/2026
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