Individual
BRENDA MARIE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT123835
Contact information
Practice address
100 S. CENTRAL EXPRESSWAY, #43, RICHARDSON, TX 75080
(214) 566-9894
Mailing address
100 S CENTRAL EXPY STE 43, RICHARDSON, TX 75080-6314
(214) 566-9894
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT123835
TX
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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