Individual
NATHANIEL ANDREW FITZSIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, PTA
Contact information
Practice address
16838 E PALISADES BLVD STE B121, FOUNTAIN HILLS, AZ 85268-3789
(480) 837-2595
(480) 837-2773
Mailing address
20268 N 17TH PL, PHOENIX, AZ 85024-4319
(304) 281-3897
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31067
AZ
225200000X
Physical Therapy Assistant
001995
WV
225200000X
Physical Therapy Assistant
011443
AZ
225200000X
Physical Therapy Assistant
09818
OH
Other
Enumeration date
05/30/2018
Last updated
05/10/2021
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