Individual
MS. DEBRA KAY FITZL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
LINGLE HALL 33, CARBONDALE, IL 62901
(618) 453-5482
Mailing address
1207 S WALL ST, CARBONDALE, IL 62901-3748
(618) 924-6211
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096-002175
IL
Other
Enumeration date
03/24/2006
Last updated
11/30/2012
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