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NPI Code Detail

MEDICARE: PATRICE PINARD FITZGERALD

MEDICARE: PATRICE PINARD FITZGERALD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist4295MA

General Provider Information

NPI Number : 1770784035
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICE PINARD FITZGERALD
Provider Business Mailing Address
First Line : 48 BROOK BEND RD
Second Line :
City : HANOVER
State : MA
Zip : 02339-2302
Country : US
Telephone Number : 781-826-5947
Fax Number :
Provider Business Practice Location Address
First Line : 17 CHIPMAN WAY
Second Line :
City : KINGSTON
State : MA
Zip : 02364-1039
Country : US
Telephone Number : 781-585-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2007
Last Update Date : 07/08/2007

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Directions to “ PATRICE PINARD FITZGERALD ” Practice Location

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