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NPI Code Detail

MEDICARE: SARAH BOOTH FITZPATRICK MSPT

MEDICARE:   SARAH BOOTH FITZPATRICK  MSPT
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
1225100000XPhysical Therapist7214CO

General Provider Information

NPI Number : 1952511289
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH BOOTH FITZPATRICK MSPT
Provider Business Mailing Address
First Line : 6272 PERRY ST
Second Line :
City : ARVADA
State : CO
Zip : 80003-6731
Country : US
Telephone Number : 303-657-2459
Fax Number : 303-604-6573
Provider Business Practice Location Address
First Line : 1855 PLAZA DR
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-2325
Country : US
Telephone Number : 303-926-3849
Fax Number : 303-604-6573
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/08/2007

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Directions to “ SARAH BOOTH FITZPATRICK MSPT” Practice Location

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