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Individual

MS. LAURA FAITH FITZPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
9040 JACKSON AVE, TACOMA, WA 98431-7733
(253) 968-1157
Mailing address
PO BOX 11009, OLYMPIA, WA 98508-1009
(360) 352-2037
(360) 464-4851

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10736
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
226119
L & I
WA
01
2586FI
REGENCE
WA
01
8496747
DSHS
WA
Enumeration date
09/15/2006
Last updated
02/06/2025
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