Individual
DEBORAH FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12010 ETRIS RD, SUITE A150, ROSWELL, GA 30075-1421
(770) 998-9599
Mailing address
1713 HERITAGE PASS, MILTON, GA 30004-5503
(678) 977-6952
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006617
GA
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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