Individual
MRS. JENNIFER LEE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
3773 STREAM DR, MELBOURNE, FL 32940
(321) 246-8939
(321) 622-8341
Mailing address
3773 STREAM DR, MELBOURNE, FL 32940-1102
(321) 246-8939
(321) 622-8341
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA 21996
FL
225X00000X
Occupational Therapist
Primary
OT 10000
FL
Other
Enumeration date
06/12/2008
Last updated
07/18/2018
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