Provider Demographics
NPI:1548679343
Name:FRITZLER, CAMILLE ROYER (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:CAMILLE
Middle Name:ROYER
Last Name:FRITZLER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4328 S 3300 W
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:UT
Mailing Address - Zip Code:84401-6792
Mailing Address - Country:US
Mailing Address - Phone:281-415-4993
Mailing Address - Fax:
Practice Address - Street 1:2850 N 2000 W STE 204
Practice Address - Street 2:
Practice Address - City:FARR WEST
Practice Address - State:UT
Practice Address - Zip Code:84404-9219
Practice Address - Country:US
Practice Address - Phone:801-731-5421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-05
Last Update Date:2014-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9059395-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist