Individual
JENNIFER MARIE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, COTA/L
Contact information
Practice address
146 MARRON DR, INDIAN TRAIL, NC 28079-4510
(732) 691-2212
Mailing address
146 MARRON DR, INDIAN TRAIL, NC 28079-4510
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
8763
NC
224Z00000X
Occupational Therapy Assistant
Primary
NC8763
NC
Other
Enumeration date
01/15/2024
Last updated
05/01/2025
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