Fitzgibbon, Ina

Fitzgibbon, Ina is an sole proprietor health care provider with primary practice located at 39210 State St Ste 202, Fremont CA 94538-1456. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fitzgibbon, Ina can be contacted via phone (415) 420-6127.

Contact Information

Primary practice address
39210 State St Ste 202 Fremont CA 94538-1456
Phone: (415) 420-6127
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 25005 California

Profile Details

NPI number 1013456797
LBN Legal business name Fitzgibbon, Ina
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2017
Last updated Feb 15th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013456797 NPPES
California Other PT 25005 PT LICENSE

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