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Individual

DEVIN EDWARD FITZGERALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
35 TOPTON WAY APT 1E, CLAYTON, MO 63105-1665
(714) 742-7287
Mailing address
35 TOPTON WAY APT 1E, CLAYTON, MO 63105-1665
(714) 742-7287

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2023001076
MO

Other

Enumeration date
02/21/2023
Last updated
02/21/2023
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