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1174720676
PENNY R FITZPATRICK
SOUTH BEND, IN
NPI
1174720676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31003182A)
Enumeration Date
2007-06-28
Last Update Date
2007-07-08
Business Address
Mrs. PENNY R FITZPATRICK OTR
1950 RIDGEDALE RD
SOUTH BEND, IN 46614-2243
Phone number: 574-291-6722
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Mailing Address
Mrs. PENNY R FITZPATRICK OTR
192 VILLAGE DR APT A
MISHAWAKA, IN 46545-3644
Phone number: 574-252-0488
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