Individual
MRS. HOLLY A FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11329
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
617587
HARVARD PILGRIM
MA
01
—
7016433
AETNA
MA
01
—
806155
TUFTS HEALTH PLAN
MA
05
—
9775978
—
MA
01
—
Y61089
BLUE CROSS BLUE SHEILD
MA
Enumeration date
07/15/2005
Last updated
01/30/2024
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