Individual
MRS. ANDREA KAE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
482 OAK ST, BERLIN, WI 54923-1204
(920) 361-5832
(920) 361-5870
Mailing address
PO BOX 2759, APPLETON, WI 54912-2759
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1296019
WI
Other
Enumeration date
04/14/2008
Last updated
10/03/2016
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