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Contact Information

VITA M FITZPATRICK, COTA/L
456 N NEW BALLAS RD STE 211
CREVE COEUR, MO63141-6842
 Phone: 314-227-2124
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for VITA M FITZPATRICK · (Female)

NPI # 1063194819
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 08/02/2023
Last updated 01/28/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2023028203
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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