Individual
MR. TERRY OBRIEN FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23101 MOULTON PKWY, SUITE 105, LAGUNA HILLS, CA 92653-1213
(949) 581-4647
Mailing address
23101 MOULTON PKWY, SUITE 105, LAGUNA HILLS, CA 92653-1213
(949) 581-4647
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
CA
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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