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Individual

MRS. KRISTIN LEE FITZGERALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
29080 MUNCAS AVE, SALISBURY, MO 65281-2381
(660) 833-9053
Mailing address
613 N BROADWAY, SALISBURY, MO 65281-1467
(660) 833-9053

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
14-02490
KS
225200000X
Physical Therapy Assistant
Primary
2013001404
MO
225200000X
Physical Therapy Assistant
2094950
TX

Other

Enumeration date
04/03/2013
Last updated
11/16/2023
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