Individual
MS. MICHELLE HELENE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9109 LIBERTY RD, RANDALLSTOWN, MD 21133-3521
(410) 655-7373
(410) 655-0348
Mailing address
9109 LIBERTY RD, RANDALLSTOWN, MD 21133-3521
(410) 655-7373
(410) 655-0348
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1921
MD
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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