Individual
MARY FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4650 S PANTHER CREEK DR, THE WOODLANDS, TX 77381-2764
(281) 363-3535
Mailing address
4650 S PANTHER CREEK DR, THE WOODLANDS, TX 77381-2764
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
209903
TX
320700000X
Physical Disabilities Residential Treatment Facility
—
TX
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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