Individual
JOANNE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1000 N 92ND ST, WAUWATOSA, WI 53226-3533
(414) 479-9487
(414) 259-0575
Mailing address
3876 S LAKE DR, MILWAUKEE, WI 53235-5229
(414) 810-3539
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1931-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41806800
—
WI
Enumeration date
10/27/2006
Last updated
07/08/2007
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