Individual
KATHERINE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12603 KILBOURNE LN, BOWIE, MD 20715-2648
(301) 908-4063
Mailing address
12603 KILBOURNE LN, BOWIE, MD 20715-2648
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08692
MD
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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