Individual
KELLY ANN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2150 LA DAWN LANE NW, ATLANTA, GA 30318
(404) 314-5505
Mailing address
2150 LA DAWN LANE NW, ATLANTA, GA 30318
(404) 314-5505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010759
GA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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